<Unavail>

LBN: Fayette County Nursing Home Llc
<Unavail> is an health care organization with primary practice located at 151 Wisdom Rd , Peachtree City GA 30269-3937. 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. Fayette County Nursing Home Llc can be contacted via phone (770) 631-9000, or through Mahorn, Shanathania via phone (770) 631-9000.

Contact Information

Primary practice address
151 Wisdom Rd Peachtree City GA 30269-3937
Phone: (770) 631-9000
Fax: (770) 487-2788
Website:
Map and Directions
Authorized official contact:
Name: Mahorn, Shanathania
Phone: (770) 631-9000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-056-1784 Georgia

Profile Details

NPI number 1659307957
LBN Legal business name Fayette County Nursing Home Llc
DBA Doing business as <Unavail>
Authorized official Mahorn, Shanathania
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Feb 12th, 2026 - about 8 months 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 1659307957 NPPES
Georgia MEDICAID 000409054A
Georgia Other 51043457 002

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