Westbury Medical Care Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-018-173 Issued in GA

Legal business name

WESTBURY MEDICAL CARE HOME, INC.

Practice address

922 McDonough Rd
Jackson, GA 30233-1522

Phone

(770) 775-7832

Fax

(770) 504-9430

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James R. Westbury Sr.

Title

Administrator/Owner

Phone

(770) 775-7832

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346336435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331522",
            "telephone_number": "770-775-7832",
            "fax_number": "770-504-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331522",
            "telephone_number": "770-775-7832",
            "fax_number": "770-504-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBURY MEDICAL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTBURY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "770-775-7832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-018-173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00143514A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Krystle Jo Whitten, RN
• Latora Williams, MD

• Skilled Nursing Facility in Jackson, GA
• Providers in Jackson, 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 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.