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FAMILY EXTENDED CARE OF ALBANY INC. NPI 1609072131


NPI Information

NPI: 1609072131
Provider Name: FAMILY EXTENDED CARE OF ALBANY, INC.

Doing Business As: EVERGREEN ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 11D2128220

Address:
2821 GILLIONVILLE RD
ALBANY, GA
ZIP 31721
Phone: (229) 889-8840
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FAMILY EXTENDED CARE OF ALBANY, INC. is an assisted living facility in Albany, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FAMILY EXTENDED CARE OF ALBANY, INC. NPI is 1609072131. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Assisted Living.

The provider's business location address is:

2821 GILLIONVILLE RD
ALBANY, GA
ZIP 31721-951
Phone: (229) 889-8840
Fax: (229) 434-0780

The provider's authorized official is Mary Parrett .
The authorized official title is Director Of Operations and has the following contact phone number (941) 342-0566.

The CLIA number assigned to this NPI record is 11D2128220 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.