Middle Georgia Nursing Home, Inc

LBN: Middle Georgia Nursing Home, Inc
Middle Georgia Nursing Home, Inc is an health care organization with primary practice located at 556 Chester Hwy , Eastman GA 31023-3717. 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. Middle Georgia Nursing Home, Inc can be contacted via phone (478) 374-4733, or through Harvill, Ben via phone (478) 374-0805.

Contact Information

Primary practice address
556 Chester Hwy Eastman GA 31023-3717
Phone: (478) 374-4733
Fax: (478) 374-1688
Website:
Map and Directions
Authorized official contact:
Name: Harvill, Ben
Phone: (478) 374-0805

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10451407 Georgia

Profile Details

NPI number 1053314039
LBN Legal business name Middle Georgia Nursing Home, Inc
DBA Doing business as
Authorized official Harvill, Ben
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Mar 23rd, 2008 - about 18 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 1053314039 NPPES
Georgia MEDICAID 0001419174A

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