A G RHODES HOME INC NPI 1386648962

NPI Information

NPI: 1386648962
Provider Name: A G RHODES HOME INC
Classification: Nursing Home Administrator - 376G00000X
Entity Type: Organization

CLIA Number: 11D0907652

Address:
350 BOULEVARD S.E.
ATLANTA, GA
ZIP 30312
Phone: (404) 688-6731
Get Directions

A G RHODES HOME INC is a nursing home administrator in Atlanta, GA. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. A G RHODES HOME INC NPI is 1386648962. The provider is registered as an organization entity type.

The provider's business location address is:

350 BOULEVARD S.E.
ATLANTA, GA
ZIP 30312-352
Phone: (404) 688-6731
Fax: (404) 659-8639

The provider's authorized official is Deke Gavin Cateau .
The authorized official title is Administrator and has the following contact phone number (404) 688-6731.

The CLIA number assigned to this NPI record is 11D0907652 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2005 and was last updated on 10/6/2016.

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
1	314000000X	Skilled Nursing Facility		1060142	GEORGIA	No
2	163WA2000X	Registered Nurse	Administrator		GEORGIA	No
3	376G00000X	Nursing Home Administrator			GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0877680001	MEDICARE NSC	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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