Organization Active NPI

Warren County Health Care LLC

  • Skilled Nursing Facility
  • Warrenton, GA
National Provider Identifier
1023002995
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-149-1472 Issued in GA
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

Updated by the provider on Jul 24, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000142645AMedicaidGA

Other names 1

  • Warrenton Health and Rehabilitation Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0675081Warrenton Health and Rehabilitation813 Atlanta Highway, Warrenton, GA 30828Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.