MOUNT PLEASANT ASSISTED LIVING CARE NPI 1629216916

NPI Information

NPI: 1629216916
Provider Name: MOUNT PLEASANT ASSISTED LIVING CARE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 11D1051679

Address:
311 JOHNSON AVE
THOMSON, GA
ZIP 30824
Phone: (706) 595-8537
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MOUNT PLEASANT ASSISTED LIVING CARE is an assisted living facility in Thomson, 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. MOUNT PLEASANT ASSISTED LIVING CARE NPI is 1629216916. The provider is registered as an organization entity type.

The provider's business location address is:

311 JOHNSON AVE
THOMSON, GA
ZIP 30824-043
Phone: (706) 595-8537
Fax: (706) 595-8537

The provider's authorized official is William Joel May .
The authorized official title is Owner and has the following contact phone number (706) 598-0268.

The CLIA number assigned to this NPI record is 11D1051679 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 1/26/2009.

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
1	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	097-02-007-1	GEORGIA	No
2	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	097-02-007-1	GEORGIA	No
3	311ZA0620X	Custodial Care Facility	Adult Care Home	097-02-007-1	GEORGIA	No
4	310400000X	Assisted Living Facility		097-02-007-1	GEORGIA	Yes

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

NPI Synchronization or Removal

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