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ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS INC. NPI 1427468362


NPI Information

NPI: 1427468362
Provider Name: ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC.

Doing Business As: ROOSEVELT WARM SPRINGS LTAC HOSPITAL

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 11D2081333

Address:
6135 ROOSEVELT HWY
WARM SPRINGS, GA
ZIP 31830
Phone: (706) 655-5337
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ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC. is a long term care hospital in Warm Springs, 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. ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC. NPI is 1427468362. The provider is registered as an organization entity type.
The provider Is Doing Business As Roosevelt Warm Springs Ltac Hospital.

The provider's business location address is:

6135 ROOSEVELT HWY
WARM SPRINGS, GA
ZIP 31830-757
Phone: (706) 655-5337
Fax: (706) 655-5011

The provider's authorized official is David Mork .
The authorized official title is Executive Director & Coo and has the following contact phone number (706) 655-5515.

The CLIA number assigned to this NPI record is 11D2081333 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/30/2014 and was last updated on 7/19/2016.


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
1282E00000XLong Term Care Hospital099-685GEORGIAYes

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
1112000MEDICARE OSCAR/CERTIFICATIONGEORGIA

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

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