Northeast Georgia Home Training

LBN: Hightower Dialysis Llc
Northeast Georgia Home Training is an health care organization with primary practice located at 1485 Jesse Jewell Pkwy Ne Suite 260, Gainesville GA 30501-3801. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Hightower Dialysis Llc can be contacted via phone (770) 297-0547, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1485 Jesse Jewell Pkwy Ne Suite 260 Gainesville GA 30501-3801
Phone: (770) 297-0547
Fax: (770) 536-4267
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1184177594
LBN Legal business name Hightower Dialysis Llc
DBA Doing business as Northeast Georgia Home Training
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2016
Last updated Mar 28th, 2024 - about 2 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 1184177594 NPPES
Georgia MEDICAID 003191123A

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