Walton Regional Nursing Home

LBN: Monroe Hma Llc
Walton Regional Nursing Home is an health care organization with primary practice located at 330 Alcovy St , Monroe GA 30655-2140. 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. Monroe Hma Llc can be contacted via phone (770) 267-8461, or through Holtsford, Laurie via phone (615) 465-7466.

Contact Information

Primary practice address
330 Alcovy St Monroe GA 30655-2140
Phone: (770) 267-8461
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holtsford, Laurie
Phone: (615) 465-7466

Health care specialties

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

Profile Details

NPI number 1629011713
LBN Legal business name Monroe Hma Llc
DBA Doing business as Walton Regional Nursing Home
Authorized official Holtsford, Laurie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 28th, 2014 - about 12 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 1629011713 NPPES
Georgia MEDICAID 000143448A

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