Hancock County Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-070-1881 Issued in GA

Legal business name

HANCOCK COUNTY HEALTH CARE LLC

Practice address

60 Providence St
Sparta, GA 31087-1601

Phone

(706) 444-5153

Fax

(706) 444-8875

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Arnetria Prosser

Title

Administrator

Phone

(706) 444-5153

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Providence of Sparta Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1366485161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310870086",
            "telephone_number": "706-444-5153",
            "fax_number": "706-444-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PROVIDENCE ST",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310871601",
            "telephone_number": "706-444-5153",
            "fax_number": "706-444-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK COUNTY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "PROSSER",
        "authorized_official_first_name": "ARNETRIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-444-5153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-070-1881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142623A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence of Sparta Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Practice & Surgery LLC
• Family Practice & Surgery LLC
• Hancock County Association for Retarded Children, Inc.
• Hancock County Board of Education
• Hancock County Commissioner of Roads & Revenues
• Kemberly Jean Harrison-Smith, NP
• Leroy Justice, .D.D.S
• Mary Kent
• April Lawson, PHARMD
• Arleda Elise Lawson

• All providers in Sparta, GA
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.