Active NPI
Jennings Healthcare Inc
- Nursing Facility/Intermediate Care Facility
- Augusta, GA
National Provider Identifier
1306847850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- JENNINGS HEALTHCARE INC
- Practice address
- 3235 Deans Bridge Road
Augusta, GA 30906 - Phone
- (706) 798-1430
- Fax
- (706) 798-4414
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas W Penley
- Title
- Office Manager
- Phone
- (706) 855-1773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
3235 Deans Bridge Road
Augusta, GA 30906
Mailing address
3235 Deans Bridge Road
Augusta, GA 30906
Phone (706) 798-1430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041440001 | Other | DME | |
| 00141589A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306847850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 DEANS BRIDGE ROAD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30906",
"telephone_number": "706-798-1430",
"fax_number": "706-798-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 DEANS BRIDGE ROAD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30906",
"telephone_number": "706-798-1430",
"fax_number": "706-798-4414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNINGS HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PENLEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-855-1773",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "1041440001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00141589A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.