Organization Active NPI

Brown'S Healthcare, LLC

  • Skilled Nursing Facility
  • Statesboro, GA
National Provider Identifier
1225084346
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BROWN'S HEALTHCARE, LLC
Doing business as
Brown's Health Care
Practice address
226 S College St
Statesboro, GA 30458-5299
Phone
(912) 764-9631
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Tygh Angwin Brogdon
Title
Manager
Phone
(770) 650-8773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

226 S College St
Statesboro, GA 30458-5299

Mailing address

1145 Hembree Rd
Roswell, GA 30076-1122
Phone (770) 650-8773

Other identifiers 1

IdentifierTypeStateIssuer
000140434AMedicaidGA

Other names 1

  • Brown's Health Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1225084346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 HEMBREE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761122",
            "telephone_number": "770-650-8773",
            "fax_number": "770-650-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S COLLEGE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585299",
            "telephone_number": "912-764-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN'S HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "TYGH",
        "authorized_official_middle_name": "ANGWIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-650-8773"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000140434A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown's Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.