Greene County Nursing Center LLC
Organization Active NPI Skilled Nursing Facility · Greensboro, GA
NPI 1649320490 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1649320490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1-066-1891 (GA)
- Legal business name
- GREENE COUNTY NURSING CENTER LLC
- Practice address
- 1211 Siloam Road
Greensboro, GA 30642 - Phone
- (706) 453-5009
- Fax
- (706) 453-5079
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Laralee Danforth
- Title
- Administrator
- Phone
- (706) 453-5009
National Provider Directory
Locations
1211 Siloam Rd
Greensboro, GA 30642
Phone (706) 453-1912
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1-066-1891 | GA | Yes |
Addresses
Primary practice location
1211 Siloam Road
Greensboro, GA 30642
Mailing address
1211 Siloam Road
Greensboro, GA 30642
Phone (706) 453-5009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000415522A | Medicaid | GA |
Other names
- Legacy Health and Rehabilitation
Other providers in Greensboro, GA
- Greene County Board of Commissioners
- Greene County Board of Education
- Greene County Health Department
- Greene County Health Department
- Greene County Health Department
- Greene County Senior Center
- Greensboro Dialysis Facility, L.L.C.
- Greensboro Nephrology
- Greensboro Pharmacy LLC
- Jeana Renee' Griffith
All providers in Greensboro, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.