Covington Manor Nursing Home Llc

LBN: Covington Manor Nursing Home Llc
Covington Manor Nursing Home Llc is an health care organization with primary practice located at 440 Industrial Blvd , Hawkinsville GA 31036. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty. Covington Manor Nursing Home Llc can be contacted via phone (478) 783-4988, or through Crump, Ronnie via phone (478) 783-1623.

Contact Information

Primary practice address
440 Industrial Blvd Hawkinsville GA 31036
Phone: (478) 783-4988
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crump, Ronnie
Phone: (478) 783-1623

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 106867 Georgia

Profile Details

NPI number 1760688550
LBN Legal business name Covington Manor Nursing Home Llc
DBA Doing business as
Authorized official Crump, Ronnie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 27th, 2007
Last updated Jan 2nd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760688550 NPPES
Georgia MEDICAID 000515534A

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