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TREUTLEN COUNTY NURSING HOME LLC NPI 1659307700


NPI Information

NPI: 1659307700
Provider Name: TREUTLEN COUNTY NURSING HOME LLC

Doing Business As: TREUTLEN COUNTY HEALTH AND REHABILITATION

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 11D0892722

Address:
2249 COLLEGE ST
SOPERTON, GA
ZIP 30457
Phone: (912) 529-4418
Get Directions

TREUTLEN COUNTY NURSING HOME LLC is a skilled nursing facility in Soperton, 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. TREUTLEN COUNTY NURSING HOME LLC NPI is 1659307700. The provider is registered as an organization entity type.
The provider Is Doing Business As Treutlen County Health And Rehabilitation.

The provider's business location address is:

2249 COLLEGE ST
SOPERTON, GA
ZIP 30457-627
Phone: (912) 529-4418
Fax: (912) 529-3322

The provider's authorized official is Johnnie Brooks .
The authorized official title is Administrator and has the following contact phone number (912) 529-4418.

The CLIA number assigned to this NPI record is 11D0892722 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 3/31/2011.


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
1314000000XSkilled Nursing Facility1-140-1782GEORGIAYes

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
151001081 001OTHERBCBS
2115358MEDICARE OSCAR/CERTIFICATION
3000143349AMEDICAIDGEORGIA

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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