Johnson County Nursing Home, Inc.

Organization Active NPI Adult Day Care Clinic/Center · Adrian, GA

NPI 1477681997 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1477681997
Entity type
Organization (NPI type 2)
Primary specialty
Adult Day Care Clinic/Center 261QA0600X
License
1-083-1775 (GA)
Legal business name
JOHNSON COUNTY NURSING HOME, INC.
Practice address
1 School Street
Adrian, GA 31002
Phone
(478) 668-3225
Fax
(478) 668-3927
NPI assigned
Feb 28, 2007
Organization subpart
No

Authorized official

Name
Kim Sheffield
Title
VP of Financial Reporting
Phone
(478) 621-2100

Corporate family (same tax ID) 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Johnson County Health Rehabilitation (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1-083-1775 GA Yes

Addresses

Primary practice location

1 School Street
Adrian, GA 31002

Mailing address

PO Box 287
Adrian, GA 31002-0287
Phone (478) 668-3225

Other identifiers

IdentifierTypeStateIssuer
00141644EMedicaidGA

Other names

  • Johnson County Health & Rehabilitation Doing business as

Other providers in Adrian, GA

All providers in Adrian, GA · Adult Day Care Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.