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TSPC-GA LLC NPI 1285111088


NPI Information

NPI: 1285111088
Provider Name: TSPC-GA, LLC

Doing Business As: THRIVE SKILLED PEDIATRIC CARE

Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 11D2153469

Address:
2278 INGLESIDE AVE
MACON, GA
ZIP 31204
Phone: (478) 287-4165
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TSPC-GA, LLC is a nursing care in Macon, GA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. TSPC-GA, LLC NPI is 1285111088. The provider is registered as an organization entity type.
The provider Is Doing Business As Thrive Skilled Pediatric Care.

The provider's business location address is:

2278 INGLESIDE AVE
MACON, GA
ZIP 31204-032
Phone: (478) 287-4165
Fax: (678) 388-4443

The provider's authorized official is Melinda Phillips .
The authorized official title is President and has the following contact phone number (781) 486-4100.

The CLIA number assigned to this NPI record is 11D2153469 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2018 and was last updated on 1/2/2024.


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
1251J00000XNursing CareYes

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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