Active NPI
Warren County Health Care LLC
- Skilled Nursing Facility
- Warrenton, GA
National Provider Identifier
1023002995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1-149-1472
- Legal business name
- WARREN COUNTY HEALTH CARE LLC
- Practice address
- 813 Atlanta Hwy
Warrenton, GA 30828-9105 - Phone
- (706) 465-3328
- Fax
- (706) 465-1119
- NPI assigned
- Sep 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Phillips
- Title
- Administrator
- Phone
- (706) 465-3328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1-149-1472 | GA | Primary |
Addresses
Primary practice location
813 Atlanta Hwy
Warrenton, GA 30828-9105
Mailing address
110 Plantation Chase
St Simons Is, GA 31522-1622
Phone (706) 465-3328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000142645A | Medicaid | GA |
Other names 1
- Warrenton Health and Rehabilitation
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0675081 | Warrenton Health and Rehabilitation | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
110 Plantation Chase
St Simons Island, GA 31522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437696000000",
"number": "1023002995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PLANTATION CHASE",
"city": "ST SIMONS IS",
"state": "GA",
"postal_code": "315221622",
"telephone_number": "706-465-3328",
"fax_number": "706-465-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 ATLANTA HWY",
"city": "WARRENTON",
"state": "GA",
"postal_code": "308289105",
"telephone_number": "706-465-3328",
"fax_number": "706-465-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN COUNTY HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-07",
"last_updated": "2015-07-24",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "706-465-3328"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "1-149-1472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000142645A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Warrenton Health and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warrenton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.