Active NPI
The Cobb Foundation, Inc
- Skilled Nursing Facility
- Hartwell, GA
National Provider Identifier
1407968415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1-073-1546
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00141413A | Medicaid | GA |
Other names 1
- Hartwell Health Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Hart County Health Rehabilitation LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Hartwell, GA
- NPI 1164849774
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.