Organization Active NPI

Jeffersonville Healthcare & Rehab, LLC

Doing business as Jeffersonville Health & Rehab

  • Skilled Nursing Facility
  • Jeffersonville, GA
National Provider Identifier
1356687560
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JEFFERSONVILLE HEALTHCARE & REHAB, LLC
Doing business as
Jeffersonville Health & Rehab
Practice address
113 Spring Valley Rd
Jeffersonville, GA 31044-3917
Phone
(478) 945-2520
Fax
(478) 945-2525
NPI assigned
Dec 14, 2012
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Debbie Jones
Title
Coo
Phone
(423) 648-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

113 Spring Valley Rd
Jeffersonville, GA 31044-3917

Mailing address

113 Spring Valley Rd
Jeffersonville, GA 31044-3917
Phone (478) 945-2520

Other names 1

  • Jeffersonville Health & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

82 Spring Valley Rd
Jeffersonville, GA 31044
Phone (478) 298-6700

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1356687560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SPRING VALLEY RD",
            "city": "JEFFERSONVILLE",
            "state": "GA",
            "postal_code": "310443917",
            "telephone_number": "478-945-2520",
            "fax_number": "478-945-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SPRING VALLEY RD",
            "city": "JEFFERSONVILLE",
            "state": "GA",
            "postal_code": "310443917",
            "telephone_number": "478-945-2520",
            "fax_number": "478-945-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSONVILLE HEALTHCARE & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "423-648-6750"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffersonville Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeffersonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.