Active NPI
Salem Nursing & Rehab Center of Augusta, Inc.
- Skilled Nursing Facility
- Augusta, GA
National Provider Identifier
1609809706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 74952
- Legal business name
- SALEM NURSING & REHAB CENTER OF AUGUSTA, INC.
- Doing business as
- Amara Health Care & Rehab
- Practice address
- 2021 Scott Rd
Augusta, GA 30906-2539 - Phone
- (706) 793-1057
- Fax
- (706) 790-0786
- NPI assigned
- Jul 9, 2006
- 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
- Douglas K. Mittleider
- Title
- President
- Phone
- (770) 619-0866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 74952 | GA | Primary |
Addresses
Primary practice location
2021 Scott Rd
Augusta, GA 30906-2539
Mailing address
925 N Point Pkwy
Suite 440
Alpharetta, GA 30005-5210
Phone (770) 619-0866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00140049A | Medicaid | GA |
Other names 1
- Amara Health Care & Rehab
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405382400000",
"number": "1609809706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 N POINT PKWY",
"address_2": "SUITE 440",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055210",
"telephone_number": "770-619-0866",
"fax_number": "770-870-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 SCOTT RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309062539",
"telephone_number": "706-793-1057",
"fax_number": "706-790-0786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALEM NURSING & REHAB CENTER OF AUGUSTA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2014-07-15",
"status": "A",
"authorized_official_last_name": "MITTLEIDER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-619-0866"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "74952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00140049A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amara Health Care & Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.