Monroe Hma LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MONROE HMA LLC

Doing business as

Walton Regional Nursing Home

Practice address

330 Alcovy St
Monroe, GA 30655-2140

Phone

(770) 267-8461

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Laurie Holtsford

Title

Authorized Official

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walton Regional Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1629011713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552140",
            "telephone_number": "770-267-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552140",
            "telephone_number": "770-267-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000143448A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton Regional Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Monroe Hma, LLC (Clearview Regional Medical Center)
• Monroe Nursing Home Inc (Park Place Nursing Facility)
• Monroe Optical, Inc.

• Skilled Nursing Facility in Monroe, GA
• Providers in Monroe, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.