Spring Villa Personal Care Home

LBN: Spring Villa Personal Care Home
Spring Villa Personal Care Home is an health care organization with primary practice located at 620 Monroe St , Macon GA 31201-1422. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Spring Villa Personal Care Home can be contacted via phone (478) 742-0972, or through Tompkins, Emogene via phone (478) 742-0972.

Contact Information

Primary practice address
620 Monroe St Macon GA 31201-1422
Phone: (478) 742-0972
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tompkins, Emogene
Phone: (478) 742-0972

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 011020151 Georgia

Profile Details

NPI number 1962523167
LBN Legal business name Spring Villa Personal Care Home
DBA Doing business as
Authorized official Tompkins, Emogene
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 12th, 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 1962523167 NPPES
Georgia MEDICAID 00454968A

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