College Park Healthcare Center

LBN: Cp Nursing, Llc
College Park Healthcare Center is an health care organization with primary practice located at 1765 Temple Avenue , College Park GA 30337-2736. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Cp Nursing, Llc can be contacted via phone (404) 767-8609, or through Gentry, Boyd P via phone (937) 964-8974.

Contact Information

Primary practice address
1765 Temple Avenue College Park GA 30337-2736
Phone: (404) 767-8609
Fax: (404) 766-2957
Website:
Map and Directions
Authorized official contact:
Name: Gentry, Boyd P
Phone: (937) 964-8974

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-060-1634 Georgia
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-060-1984 Georgia

Profile Details

NPI number 1356396360
LBN Legal business name Cp Nursing, Llc
DBA Doing business as College Park Healthcare Center
Authorized official Gentry, Boyd P
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Jul 25th, 2011 - about 15 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 1356396360 NPPES
Georgia MEDICAID 00140654A

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