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WESLEY WOODS LONG TERM HOSPITAL INC NPI 1629055199


NPI Information

NPI: 1629055199
Provider Name: WESLEY WOODS LONG TERM HOSPITAL, INC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 11D0991983

Address:
1821 CLIFTON RD NE
ATLANTA, GA
ZIP 30329
Phone: (404) 686-7041
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WESLEY WOODS LONG TERM HOSPITAL, INC is a long term care hospital in Atlanta, GA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. WESLEY WOODS LONG TERM HOSPITAL, INC NPI is 1629055199. The provider is registered as an organization entity type.

The provider's business location address is:

1821 CLIFTON RD NE
ATLANTA, GA
ZIP 30329-021
Phone: (404) 686-7041
Fax: (404) 712-5731

The provider's authorized official is Jimmy T Hatcher .
The authorized official title is Cfo Emory Healthcare and has the following contact phone number (404) 686-2983.

The CLIA number assigned to this NPI record is 11D0991983 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 8/9/2011.


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
1282E00000XLong Term Care Hospital044-529GEORGIAYes

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
1112005MEDICARE ID-TYPE UNSPECIFIEDGEORGIAWESLEY LTAC UNIT
200339831AMEDICAIDGEORGIA

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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