Active NPI
Lifebrite Hospital Group of Early LLC
- Skilled Nursing Facility
- Blakely, GA
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- All disclosed owners & managing parties3
- National Provider Directory
- Other NPIs with the same Medicare PAC ID5
- Facilities with the same owner3
- Practitioners10
- Affiliated clinicians1
- Care Compare: Nursing home
- NPI Registry JSON
- Other providers in Blakely, GA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1-049-1972
- Legal business name
- LIFEBRITE HOSPITAL GROUP OF EARLY LLC
- Practice address
- 11740 Columbia St
Blakely, GA 39823-2574 - Phone
- (229) 723-4841
- NPI assigned
- Apr 6, 2017
- 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
- Morgan Dunn
- Title
- Ceo
- Phone
- (601) 849-6440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1-049-1972 | GA | Primary |
Addresses
Primary practice location
11740 Columbia St
Blakely, GA 39823-2574
Mailing address
11740 Columbia St
Blakely, GA 39823-2574
Other names 1
- Early Memorial Nursing Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180124001180 | GA | Part A Provider - Skilled Nursing Facility | 7810263589 | Practice locations: Blakely, GA |
Skilled nursing facility certification: CCN 115271
- Legal name
- LIFEBRITE HOSPITAL GROUP OF EARLY LLC
- Doing business as
- EARLY MEMORIAL NURSING FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1979
- Last certification
- Aug 7, 2024
- Beds
- 127
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 11740 Columbia St
Blakely, GA 39823-2574 - Nursing home name
- EARLY MEMORIAL NURSING FACILITY
All disclosed owners & managing parties 3
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Echp, Inc. | 5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 100% |
| Morgan Dunn | Corporate Director | Feb 1, 2023 | |
| Ginger Cushing | W-2 Managing Employee | Nov 1, 2017 |
National Provider Directory
National Provider Directory- Tax ID family
- Lifebrite Hosp GRP of Early
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medicare Defined Swing Bed Hospital Unit
- Blakely, GA
- NPI 1104358811
-
- Emergency Care Clinic/Center
- Blakely, GA
- NPI 1194258129
-
- Critical Access Hospital
- Blakely, GA
- NPI 1598297590
-
- Community/Retail Pharmacy
- Blakely, GA
- NPI 1922531953
-
- Ambulance
- Blakely, GA
- NPI 1992238430
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Medicare Defined Swing Bed Hospital Unit
- Blakely, GA
- NPI 1104358811
7810263589
-
- Emergency Care Clinic/Center
- Blakely, GA
- NPI 1194258129
7810263589
-
- Critical Access Hospital
- Blakely, GA
- NPI 1598297590
7810263589
-
- Rural Health Clinic/Center
- Blakely, GA
- NPI 1912430224
7810263589
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Medicare Defined Swing Bed Hospital Unit
- Blakely, GA
- NPI 1104358811
Echp, Inc.
-
- Critical Access Hospital
- Blakely, GA
- NPI 1598297590
Echp, Inc.
-
- Rural Health Clinic/Center
- Blakely, GA
- NPI 1912430224
Echp, Inc.
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Blakely, GA
- NPI 1821039660
-
- Family Nurse Practitioner
- Blakely, GA
- NPI 1962755421
-
- Family Nurse Practitioner
- Blakely, GA
- NPI 1962247999
-
- Family Nurse Practitioner
- Blakely, GA
- NPI 1861631251
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1932194545
-
- Diagnostic Radiology Physician
- Kentfield, CA
- NPI 1386714905
-
- Family Medicine Physician
- Loudon, TN
- NPI 1134159171
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1649411422
-
- Diagnostic Radiology Physician
- Weston, FL
- NPI 1992797377
-
- Physician Assistant
- Blakely, GA
- NPI 1396714408
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Early Memorial Nursing Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 1979
- Medicare certification status
- Active
- Certified beds
- 127
- Penalties (3 years)
- 1
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692748800000",
"number": "1346773363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11740 COLUMBIA ST",
"city": "BLAKELY",
"state": "GA",
"postal_code": "398232574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 COLUMBIA ST",
"city": "BLAKELY",
"state": "GA",
"postal_code": "398232574",
"telephone_number": "229-723-4841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEBRITE HOSPITAL GROUP OF EARLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-06",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A",
"authorized_official_last_name": "DUNN",
"authorized_official_first_name": "MORGAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "601-849-6440"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "1-049-1972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Early Memorial Nursing Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Early Memorial Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blakely, GA
- Chandra Levatte
- Rachel Lewis
- Lifebrite Hospital Group of Early LLC
- Lifebrite Hospital Group of Early LLC
- Lifebrite Hospital Group of Early LLC
- Lifebrite Hospital Group of Early LLC
- Lifebrite Hospital Group of Early LLC
- Lifebrite Hospital Group of Early LLC
- Lifebrite Hospital Group of Early LLC
- Lifebrite Hospital Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.