Three Rivers Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

140-234-H Issued in GA

Legal business name

THREE RIVERS HOME HEALTH SERVICES, INC.

Practice address

115 NW Main St
Vidalia, GA 30474-3103

Phone

(912) 537-9192

NPI assigned

Jul 5, 2006

Last updated

Jul 21, 2022By 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

Mr. Hal M Smith Jr.

Title

Executive Director

Phone

(478) 374-3468

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

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

• LHCG Ccxxviii, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Vidalia, GA
  • NPI 1265160170

  Sold to, 2022-10-01

  CMS change of ownership

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225068901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310230640",
            "telephone_number": "478-374-3468",
            "fax_number": "478-374-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NW MAIN ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304743103",
            "telephone_number": "912-537-9192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Second St",
            "address_purpose": "LOCATION",
            "city": "Soperton",
            "state": "GA",
            "postal_code": "30457",
            "country_code": "US",
            "telephone_number": "912-529-5120",
            "fax_number": "912-529-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THREE RIVERS HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-374-3468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "140-234-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00186766F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00821026A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Toombs County Commissioners (Toombs County EMS)

• Home Health Agency in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.