801 Legion LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

314000000 Issued in GA

Legal business name

801 LEGION LLC

Doing business as

Heart of Georgia Nursing Home

Practice address

815 Legion Dr
Eastman, GA 31023

Phone

(478) 374-5571

Fax

(478) 374-5573

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Edward Milner

Title

Administrator

Phone

(478) 374-5571

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heart of Georgia Nursing Home Doing business as

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1285787630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LEGION DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "31023",
            "telephone_number": "478-374-5571",
            "fax_number": "478-374-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LEGION DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "31023",
            "telephone_number": "478-374-5571",
            "fax_number": "478-374-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "801 LEGION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-374-5571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "314000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141358A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Georgia Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Eastman, GA
• Providers in Eastman, 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 Jul 15, 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.