Organization Active NPI

Claxton Nursing Home, Inc.

Doing business as Claxton Health & Rehabilitation

  • Respite Care
  • Claxton, GA
National Provider Identifier
1548397276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
1-054-1803 Issued in GA
Legal business name
CLAXTON NURSING HOME, INC.
Doing business as
Claxton Health & Rehabilitation
Practice address
700 E Long St
Claxton, GA 30417-5916
Phone
(912) 739-2245
Fax
(912) 739-3762
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 1-054-1803 GA Primary

Addresses

Primary practice location

700 E Long St
Claxton, GA 30417-5916

Mailing address

PO Box 712
Claxton, GA 30417-0712
Phone (912) 739-2245

Other names 1

  • Claxton Health & Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Claxton Health Rehabilitation2 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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548397276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304170712",
            "telephone_number": "912-739-2245",
            "fax_number": "912-739-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E LONG ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304175916",
            "telephone_number": "912-739-2245",
            "fax_number": "912-739-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAXTON NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEFFIELD",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "VP OF FINANCIAL REPORTING",
        "authorized_official_telephone_number": "478-621-2100"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "1-054-1803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claxton Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claxton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.