1. Home
  2. Directory
  3. Georgia
  4. Commerce
  5. Assisted Living Facility
  6. NPI Profile

BOUNTIFUL HILLS ASSISTED LIVING
NPI 1861869885
Assisted Living Facility in Commerce, GA

Active since August 25, 2015CLIA 11D2122678 · Waiver
200 BOLTON DR, COMMERCE, GA 30529(706) 335-5152(706) 335-0060 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bountiful Hills Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOUNTIFUL HILLS ASSISTED LIVING (NPI 1861869885) is a healthcare organization registered as an assisted living facility in Commerce, Georgia and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Rose C Cleveland, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1861869885
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBOUNTIFUL HILLS ASSISTED LIVING
Location Address200 BOLTON DRCommerce, GA 30529-1092
Mailing Address200 Bolton DrCommerce, GA 30529-1092 · (706) 335-5152 · Fax (706) 335-0060
Phone(706) 335-5152
Fax(706) 335-0060
Organization SubpartNo
Authorized OfficialRose C ClevelandExecutive Director · (706) 335-5152
Enumeration DateAugust 25, 2015
✔ NPI 1861869885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in GA · PCH008709
Definition
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.
200 BOLTON DR, Commerce, GA 30529
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2122678

Bountiful Hills Senior Living · Commerce, GA
Active · expires Dec 4, 2026
CLIA Number11D2122678
Laboratory TypePersonal Care Home
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorMrs. Roger D. Loggings
Laboratory Phone(706) 335-5152
Laboratory LocationBountiful Hills Senior Living200 Bolton Drive, Commerce, GA 30529
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CEDAR COMMUNITIES AT BOUNTIFUL HILLS, LLC
Assisted Living Facility
200 BOLTON DR
COMMERCE, GA 30529
Jackson County (706) 335-5152
CEDAR COMMUNITIES AT BOUNTIFUL HILLS, LLC
Assisted Living Facility
200 BOLTON DR
COMMERCE, GA 30529
Jackson County (706) 335-5152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bountiful Hills Assisted Living's NPI number?

The NPI number for Bountiful Hills Assisted Living is 1861869885. It was assigned to this organization in the NPPES registry on August 25, 2015.

Where is Bountiful Hills Assisted Living located?

Bountiful Hills Assisted Living is located at 200 Bolton Dr, Commerce, GA 30529. The listed phone number is (706) 335-5152.

What is Bountiful Hills Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bountiful Hills Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2122678) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bountiful Hills Assisted Living was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.