Green Street NH LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GREEN STREET NH LLC

Practice address

1011 S Green St
Thomaston, GA 30286-4643

Phone

(706) 647-6693

Fax

(706) 648-9255

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

Nancy Shmays

Title

Secretary

Phone

(770) 650-7086

Specialties & licenses 1

Addresses

Other names 1

• Providence Healthcare of Thomaston Doing business as

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1497195051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S GREEN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302864643",
            "telephone_number": "706-647-6693",
            "fax_number": "706-648-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S GREEN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302864643",
            "telephone_number": "706-647-6693",
            "fax_number": "706-648-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN STREET NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "SHMAYS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "770-650-7086"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Healthcare of Thomaston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Thomaston, GA
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.