FAMILY EXTENDED CARE OF ALBANY, INC. (NPI# 1609072131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609072131 |
| Entity Type | Organization |
| Organization Name | FAMILY EXTENDED CARE OF ALBANY, INC. |
| Other Organization Name | EVERGREEN ASSISTED LIVING |
| Practice Address |
2821 Gillionville Rd Albany GA 31721-2951 |
| Practice Telephone | 2298898840 |
| Practice Fax Number | 2294340780 |
| Mailing Telephone | 2298898840 |
| Mailing Fax Number | 2294340780 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY PARRETT (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9413420566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | GA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Evergreen Assisted Living | Doing Business As Name - Organization |
| Street Address |
2821 GILLIONVILLE RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31721-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801354139 | Quintavius Martin | Physical Therapy Assistant | 2933 Stonewater Drive, Albany, GA 31721 | 2019-03-05 |
| 1851809180 | Dialysis Clinic Inc | Clinic/Center | 650 Pointe North Blvd, Albany, GA 31721 | 2018-01-22 |
| 1336668961 | Muntaisha Shunquill Ross | Contractor | 3718 Mayfair Lane, Apt B, Albany, GA 31721 | 2017-09-14 |
| 1861942252 | Winifred Davis | Contractor | 407 Wiregrass Way, Albany, GA 31721 | 2016-10-10 |
| 1023347937 | Southwest Oral and Maxillofacial Surgery,llc | Dentist | 620 Pointe North Boulevard, Albany, GA 31721 | 2009-12-24 |
| 1922203413 | John Ronald Andrews | Radiology | 2205 West Doublegate Drive, Albany, GA 31721 | 2007-06-15 |
| 1124147608 | Jeffrey R Singleton | Dentist | 602 Pointe North Blvd., Albany, GA 31721 | 2007-03-28 |
| 1508921883 | Thomas William Monahan IIi | Dentist | 609 Pointe North Blvd, Albany, GA 31721 | 2006-12-27 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| Find all providers in zip 31721 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959821 | Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC | Assisted Living Facility | 2800 14th Ave Se, Albany, OR 97322-7079 | 2020-07-10 |
| 1942714605 | Shirley Ann Williams | Assisted Living Facility | 900 W Residence Ave, Albany, GA 31701-1783 | 2017-11-16 |
| 1215195052 | A C Meadows | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg B, Albany, GA 31701-4112 | 2008-05-29 |
| 1366609844 | Pines Personal Care Home IIi Als | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg C, Albany, GA 31701-4112 | 2008-05-21 |
| 1629235106 | Pines Personal Care Home II Als | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg D, Albany, GA 31701-4112 | 2008-05-21 |
| 1164689915 | Pines Personal Care Home, Inc. | Assisted Living Facility | 2121 Martin Luther King Jr Dr Bldg A, Albany, GA 31701-4112 | 2008-05-20 |
| 1134304819 | Peaceful Manor Retirement Home | Assisted Living Facility | 2412 Cardinal St, Albany, GA 31701-1161 | 2007-12-31 |
| 1740495464 | Mcauley Living Services Inc. | Assisted Living Facility | 308 S Manning Blvd, Albany, NY 12208-1708 | 2007-05-14 |
| 1831316439 | Magnolia Place, Inc. | Assisted Living Facility | 6430 Newton Rd, Albany, GA 31721-5627 | 2007-04-18 |
| 1437372844 | The Madison | Assisted Living Facility | 501 S Madison St, Albany, GA 31701-3113 | 2007-04-11 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.