Organization Active NPI

Macon Rehabilitation and Healthcare Center, LLC

  • Skilled Nursing Facility
  • Macon, GA
National Provider Identifier
1053724864
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MACON REHABILITATION AND HEALTHCARE CENTER, LLC
Practice address
505 Coliseum Dr
Macon, GA 31217-3840
Phone
(478) 743-8687
Fax
(478) 744-0699
NPI assigned
Jun 9, 2014
Organization subpart
Yes
Parent organization
NEW ARK OPERATOR HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Michelle D Meer
Title
Vice President & Secretary
Phone
(629) 626-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

505 Coliseum Dr
Macon, GA 31217-3840

Mailing address

505 Coliseum Dr
Macon, GA 31217-3840
Phone (478) 743-8687

Other identifiers 1

IdentifierTypeStateIssuer
000141523AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1053724864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 COLISEUM DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173840",
            "telephone_number": "478-743-8687",
            "fax_number": "478-744-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COLISEUM DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173840",
            "telephone_number": "478-743-8687",
            "fax_number": "478-744-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW ARK OPERATOR HOLDINGS, LLC",
        "enumeration_date": "2014-06-09",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "629-626-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000141523A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.