Adk Lagrange Operator, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

11411885 Issued in GA

Legal business name

ADK LAGRANGE OPERATOR, LLC

Doing business as

LaGrange Nursing and Rehab Center

Practice address

2111 W Point Rd
Lagrange, GA 30240-4047

Phone

(706) 812-9293

Fax

(706) 812-9353

NPI assigned

Jan 16, 2007

Last updated

Jan 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Groeber

Title

VP Mis

Phone

(937) 964-8974

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LaGrange Nursing and Rehab Center Doing business as

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1407908163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404047",
            "telephone_number": "706-812-9293",
            "fax_number": "706-812-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404047",
            "telephone_number": "706-812-9293",
            "fax_number": "706-812-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADK LAGRANGE OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "GROEBER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VP MIS",
        "authorized_official_telephone_number": "937-964-8974"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "11411885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00270245A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaGrange Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lagrange, GA
• Providers in Lagrange, 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 Jan 4, 2011; 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.