Organization Active NPI

Ware Visiting Nurses Service, Inc

Doing business as Charlton Visiting Nurses Greater Savannah Area Subunit

  • Home Health Agency
  • Pooler, GA
National Provider Identifier
1013005784
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013-295-H Issued in GA
Legal business name
WARE VISITING NURSES SERVICE, INC
Doing business as
Charlton Visiting Nurses Greater Savannah Area Subunit
Practice address
138 Canal St
Suite 505
Pooler, GA 31322-4051
Phone
(912) 330-7394
Fax
(912) 330-7399
NPI assigned
Oct 10, 2006
Last updated
Feb 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Pearson Johnson
Title
Ceo
Phone
(912) 283-1262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013-295-H GA Primary

Addresses

Primary practice location

138 Canal St
Suite 505
Pooler, GA 31322-4051

Mailing address

PO Box 1484
Waycross, GA 31502-1484
Phone (912) 330-7394

Other identifiers 1

IdentifierTypeStateIssuer
029946378FMedicaidGA

Other names 1

  • Charlton Visiting Nurses Greater Savannah Area Subunit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

138 Canal St
Ste 505
Pooler, GA 31322
Phone (912) 330-7394

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2017 Change of OwnershipThis provider was the seller Enhabit Home HealthCCN 117150, GA, NPI 1649796582

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1013005784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315021484",
            "telephone_number": "912-330-7394",
            "fax_number": "912-330-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CANAL ST",
            "address_2": "SUITE 505",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224051",
            "telephone_number": "912-330-7394",
            "fax_number": "912-330-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARE VISITING NURSES SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PEARSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-283-1262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "013-295-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029946378F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlton Visiting Nurses Greater Savannah Area Subunit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

Verify at the official NPI Registry.