The Place at Pooler LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE PLACE AT POOLER LLC

Practice address

508 S Rogers Street
Pooler, GA 31322

Phone

(912) 748-6840

Fax

(912) 748-5418

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimnie Chan Bennett, NHA

Title

Nursing Home Administrator

Phone

(912) 748-6840

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Place at Pooler Inc2 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.

• The Place at Pooler, Inc.

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1053515890
  NPD tax ID

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427017920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S ROGERS STREET",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "31322",
            "telephone_number": "912-748-6840",
            "fax_number": "912-748-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S ROGERS STREET",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "31322",
            "telephone_number": "912-748-6840",
            "fax_number": "912-748-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLACE AT POOLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KIMNIE",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "912-748-6840",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002387418",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Templeton, APC
• Tharros Place, Inc.
• The Foot & Ankle Center, PC
• The Mindspring Center
• The Neurological Institute of Savannah & Center for Spine, PC
• The Place at Pooler, LLC
• The Savannah Trauma Institute
• The Urgent Care Center of Richmond Hill, LLC (ExperCARE)
• The Whole Tooth
• The Wisdom Nest LLC

• Skilled Nursing Facility in Pooler, GA
• Providers in Pooler, 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 Jul 21, 2022; 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.