WILLIAM C BYRD OF TURNER INC NPI 1902964935

NPI Information

NPI: 1902964935
Provider Name: WILLIAM C BYRD OF TURNER INC

Doing Business As: GOLDEN SOUTH

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
705 DENHAM ROAD
SYCAMORE, GA
ZIP 31790
Phone: (229) 567-4273
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WILLIAM C BYRD OF TURNER INC is an assisted living facility in Sycamore, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WILLIAM C BYRD OF TURNER INC NPI is 1902964935. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden South.

The provider's business location address is:

705 DENHAM ROAD
SYCAMORE, GA
ZIP 31790
Phone: (229) 567-4273
Fax: (229) 567-2138

The provider's authorized official is William C Byrd .
The authorized official title is Owner President and has the following contact phone number (229) 382-8655.

The CLIA number assigned to this NPI record is 11D0963022 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.

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	310400000X	Assisted Living Facility			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	00768248D	MEDICAID	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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