Organization Active NPI

Jennings Healthcare Inc

  • Nursing Facility/Intermediate Care Facility
  • Augusta, GA
National Provider Identifier
1306847850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1041440001OtherDME
00141589AMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.