University Extended Care, Inc

LBN: University Extended Care, Inc
University Extended Care, Inc is an health care organization with primary practice located at 1005 Highway 88 N , Keysville GA 30816. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. University Extended Care, Inc can be contacted via phone (706) 547-2591, or through Wright, Phyllis Joy via phone (706) 828-2445.

Contact Information

Primary practice address
1005 Highway 88 N Keysville GA 30816
Phone: (706) 547-2591
Fax: (706) 547-0492
Website:
Map and Directions
Authorized official contact:
Name: Wright, Phyllis Joy
Phone: (706) 828-2445

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1104398866
LBN Legal business name University Extended Care, Inc
DBA Doing business as
Authorized official Wright, Phyllis Joy
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 19th, 2018
Last updated Dec 19th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104398866 NPPES
Georgia MEDICAID 000141655A

Popular Providers