Organization Active NPI

The Cobb Foundation, Inc

  • Skilled Nursing Facility
  • Hartwell, GA
National Provider Identifier
1407968415
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-073-1546 Issued in GA
Legal business name
THE COBB FOUNDATION, INC
Practice address
94 Cade St
Hartwell, GA 30643-1814
Phone
(706) 856-6991
Fax
(706) 856-5985
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Kimberly Drafts
Title
Controller
Phone
(706) 856-6159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-073-1546 GA Primary

Addresses

Primary practice location

94 Cade St
Hartwell, GA 30643-1814

Mailing address

PO Box 280
Hartwell, GA 30643-0280
Phone (706) 856-6100

Other identifiers 1

IdentifierTypeStateIssuer
00141413AMedicaidGA

Other names 1

  • Hartwell Health Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hart County Health Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1407968415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306430280",
            "telephone_number": "706-856-6100",
            "fax_number": "706-856-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CADE ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431814",
            "telephone_number": "706-856-6991",
            "fax_number": "706-856-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COBB FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DRAFTS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "706-856-6159",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-073-1546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141413A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartwell Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.