Jesup Healthcare

LBN: Jesup Healthcare Llc
Jesup Healthcare is an health care organization with primary practice located at 3100 Savannah Hwy , Jesup GA 31545-5514. 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. Jesup Healthcare Llc can be contacted via phone (912) 427-6873, or through Brogdon, Tygh Angwin via phone (770) 650-8773.

Contact Information

Primary practice address
3100 Savannah Hwy Jesup GA 31545-5514
Phone: (912) 427-6873
Fax: (912) 530-6713
Website:
Map and Directions
Authorized official contact:
Name: Brogdon, Tygh Angwin
Phone: (770) 650-8773

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-151-1864 Georgia

Profile Details

NPI number 1679514434
LBN Legal business name Jesup Healthcare Llc
DBA Doing business as Jesup Healthcare
Authorized official Brogdon, Tygh Angwin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Sep 29th, 2008 - 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 1679514434 NPPES
Georgia MEDICAID 000142689A

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