Gibson Health Care LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

GIBSON HEALTH CARE LLC

Doing business as

Keysville Nursing Home and Rehabilitation Center

Practice address

1005 Highway 88 North
Keysville, GA 30816-4418

Phone

(706) 547-2591

Fax

(706) 547-2592

NPI assigned

May 31, 2007

Last updated

Oct 29, 2012By 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

Jim Gibson

Title

Owner

Phone

(706) 547-2591

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Keysville Nursing Home and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1245431691",
    "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": "706-547-2592"
        },
        {
            "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": "308164418",
            "telephone_number": "706-547-2591",
            "fax_number": "706-547-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-547-2591"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000141655A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keysville Nursing Home and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Nursing Facility/Intermediate Care Facility in Keysville, GA
• Providers in Keysville, GA by specialty
• Nursing Facility/Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.