Organization Active NPI

Salem Nursing & Rehab Center of Augusta, Inc.

  • Skilled Nursing Facility
  • Augusta, GA
National Provider Identifier
1609809706
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
74952 Issued in GA
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

Updated by the provider on Jul 15, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00140049AMedicaidGA

Other names 1

  • Amara Health Care & Rehab Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.