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ST JAMES PLACE INC NPI 1629567797


NPI Information

NPI: 1629567797
Provider Name: ST JAMES PLACE, INC

Former Legal Business Name: ST JAMES PLACE, INC

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2027 ALTA VISTA DR
COLUMBUS, GA
ZIP 31907
Phone: (706) 221-8578
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ST JAMES PLACE, INC is an assisted living facility in Columbus, 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. ST JAMES PLACE, INC NPI is 1629567797. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is St James Place, Inc.

The provider's business location address is:

2027 ALTA VISTA DR
COLUMBUS, GA
ZIP 31907-213
Phone: (706) 221-8578
Fax: (706) 221-9206

The provider's authorized official is Patricia Bullard-manuel .
The authorized official title is President and has the following contact phone number (706) 315-7723.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 5/4/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000982022AMEDICAIDGEORGIA

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: 4/28/2024

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