BOUNTIFUL HILLS ASSISTED LIVING NPI 1861869885

NPI Information

  • NPI: 1861869885
  • Provider Name: BOUNTIFUL HILLS ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 11D2122678
  • Address: 200 BOLTON DR
    COMMERCE, GA
    ZIP 30529
  • Phone: (706) 335-5152

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NPI Details

BOUNTIFUL HILLS ASSISTED LIVING is an assisted living facility in Commerce, 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. BOUNTIFUL HILLS ASSISTED LIVING NPI is 1861869885. The provider is registered as an organization entity type.

The provider's business location address is:

200 BOLTON DR
COMMERCE, GA
ZIP 30529-092
Phone: (706) 335-5152
Fax: (706) 335-0060

The provider's authorized official is Rose C Cleveland .
The authorized official title is Executive Director and has the following contact phone number (706) 335-5152.

The CLIA number assigned to this NPI record is 11D2122678 - other - personal care home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2015 and was last updated on 8/25/2015.

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 FacilityPCH008709GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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