Adk Thomasville Operator, LLC
Organization Active NPI Skilled Nursing Facility · Thomasville, GA
NPI 1407908155 · NPPES record last updated Jan 7, 2011
Key facts
- NPI
- 1407908155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 11361886 (GA)
- Legal business name
- ADK THOMASVILLE OPERATOR, LLC
- Practice address
- 120 Skyline Drive
Thomasville, GA 31757-2507 - Phone
- (229) 225-1049
- Fax
- (229) 225-1017
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Carol Groeber
- Title
- VP Mis
- Phone
- (937) 964-8974
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 11361886 | GA | Yes |
Addresses
Primary practice location
120 Skyline Drive
Thomasville, GA 31757-2507
Mailing address
120 Skyline Drive
Thomasville, GA 31757-2507
Phone (229) 225-1049
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00277604A | Medicaid | GA |
Other names
- Thomasville Nursing and Rehab Center
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All providers in Thomasville, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.