Organization Active NPI

Chatsworth Health Care Center, Inc.

  • Skilled Nursing Facility
  • Chatsworth, GA
National Provider Identifier
1417923491
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
11051014 Issued in GA
Legal business name
CHATSWORTH HEALTH CARE CENTER, INC.
Practice address
102 Hospital Dr
Chatsworth, GA 30705-2058
Phone
(706) 695-8313
Fax
(706) 695-9025
NPI assigned
Feb 28, 2006
Last updated
Aug 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Mr. Lee Karschner, LNHA
Title
Director of Operations
Phone
(770) 939-8720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 11051014 GA Primary

Addresses

Primary practice location

102 Hospital Dr
Chatsworth, GA 30705-2058

Mailing address

P.O. Box 1126
102 Hospital Drive
Chatsworth, GA 30705
Phone (706) 695-8313

Other identifiers 1

IdentifierTypeStateIssuer
00209778AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1417923491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1126",
            "address_2": "102 HOSPITAL DRIVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "30705",
            "telephone_number": "706-695-8313",
            "fax_number": "706-695-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HOSPITAL DR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052058",
            "telephone_number": "706-695-8313",
            "fax_number": "706-695-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATSWORTH HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "KARSCHNER",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "770-939-8720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "11051014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00209778A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.