Keysville Nursing Home & Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-017-1616 Issued in GA

Legal business name

KEYSVILLE NURSING HOME & REHABILITATION CENTER

Practice address

1005 Highway 88 North
Keysville, GA 30816

Phone

(706) 547-2591

Fax

(706) 547-0492

NPI assigned

Oct 31, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lois N Parrish

Title

Administrator

Phone

(706) 547-2591

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174514160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "KEYSVILLE",
            "state": "GA",
            "postal_code": "308160220",
            "telephone_number": "706-547-2591",
            "fax_number": "706-547-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HIGHWAY 88 NORTH",
            "city": "KEYSVILLE",
            "state": "GA",
            "postal_code": "30816",
            "telephone_number": "706-547-2591",
            "fax_number": "706-547-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSVILLE NURSING HOME & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-547-2591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-017-1616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141655A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Burnett, LPC
• Edmund Gordon Byne, MD
• Erskine Cartwright III
• Destinee-4-Mor LLC
• Gibson Health Care LLC (Keysville Nursing Home and Rehabilitation Center)
• Neighborhood Improvement Project Inc
• Peaches and Cream Foundation
• University Extended Care, Inc (Keysville Nursing Home & Rehab)
• Unleashed Potential Counseling and Services, LLC
• Natasha Walker

• Skilled Nursing Facility in Keysville, GA
• Providers in Keysville, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.