PARK SPRINGS LLC NPI 1184605693

NPI Details

PARK SPRINGS, LLC is a skilled nursing facility in Stone Mountain, GA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. PARK SPRINGS, LLC NPI is 1184605693. The provider is registered as an organization entity type.
The provider Is Doing Business As Pebblebrook Health Center At Park Springs.

The provider's business location address is:

5610 NEW BURMUDA RD
STONE MOUNTAIN, GA
ZIP 30087
Phone: (770) 879-4330
Fax: (770) 879-7330

The provider's authorized official is Kevin W. Isakson .
The authorized official title is Manager and has the following contact phone number (404) 932-6552.

The CLIA number assigned to this NPI record is 11D1035559 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 5/2/2019.

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: