Organization Active NPI

Potosi SNF Operations, LLC

  • Skilled Nursing Facility
  • Potosi, MO
National Provider Identifier
1225924764
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
POTOSI SNF OPERATIONS, LLC
Doing business as
Georgian Gardens Center for Rehab and Healthcare
Practice address
1 Georgian Gardens Dr
Potosi, MO 63664-1436
Phone
(573) 999-2911
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Brian Ramos
Title
Manager
Phone
(573) 999-2911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1 Georgian Gardens Dr
Potosi, MO 63664-1436

Mailing address

2825 E Cottonwood Pkwy Ste 500
Salt Lake City, UT 84121-7060

Other names 1

  • Georgian Gardens Center for Rehab and Healthcare 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": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1225924764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E COTTONWOOD PKWY STE 500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841217060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GEORGIAN GARDENS DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641436",
            "telephone_number": "573-999-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOSI SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-999-2911"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgian Gardens Center for Rehab and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Potosi, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.