Active NPI
Chatsworth Health Care Center, Inc.
- Skilled Nursing Facility
- Chatsworth, GA
National Provider Identifier
1417923491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 11051014
- 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, 2015
- 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
- Mr. Lee Karschner, LNHA
- Title
- Director of Operations
- Phone
- (770) 939-8720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00209778A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
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- Cohutta, GA
- NPI 1770652612
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.