Greene County Nursing Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-066-1891 Issued in GA

Legal business name

GREENE COUNTY NURSING CENTER LLC

Doing business as

Legacy Health and Rehabilitation

Practice address

1211 Siloam Road
Greensboro, GA 30642

Phone

(706) 453-5009

Fax

(706) 453-5079

NPI assigned

Jan 12, 2007

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laralee Danforth

Title

Administrator

Phone

(706) 453-5009

Specialties & licenses 1

Addresses

Other names 1

• Legacy Health and Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1649320490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 SILOAM ROAD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "30642",
            "telephone_number": "706-453-5009",
            "fax_number": "706-453-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SILOAM ROAD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "30642",
            "telephone_number": "706-453-5009",
            "fax_number": "706-453-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "DANFORTH",
        "authorized_official_first_name": "LARALEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-453-5009"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-066-1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greene County Board of Commissioners (Greene County EMS)
• Greene County Board of Education
• Greene County Health Department (Greene Co BD of HLTH)
• 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, PH.D.

• Skilled Nursing Facility in Greensboro, GA
• Providers in Greensboro, 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 Sep 11, 2024; 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.