Organization Active NPI

Three Rivers Home Health Services, Inc.

  • Home Health Agency
  • Macon, GA
National Provider Identifier
1346270022
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011-267-H Issued in GA
Legal business name
THREE RIVERS HOME HEALTH SERVICES, INC.
Practice address
1760 Bass Rd
Suite 103
Macon, GA 31210-1061
Phone
(478) 405-1474
Fax
(478) 405-1476
NPI assigned
Jul 5, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Mr. Hal M Smith Jr.
Title
Executive Director
Phone
(478) 374-3468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011-267-H GA Primary

Addresses

Primary practice location

1760 Bass Rd
Suite 103
Macon, GA 31210-1061

Mailing address

PO Box 640
Eastman, GA 31023-0640
Phone (478) 374-3468

Other identifiers 1

IdentifierTypeStateIssuer
00821026BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2022 Change of OwnershipThis provider was the seller Three Rivers Home Health ServicesCCN 117135, GA, NPI 1962139675

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1346270022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310230640",
            "telephone_number": "478-374-3468",
            "fax_number": "478-374-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 BASS RD",
            "address_2": "SUITE 103",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101061",
            "telephone_number": "478-405-1474",
            "fax_number": "478-405-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-374-3468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "011-267-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00821026B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.