Oconee Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-150-1702 Issued in GA

Legal business name

OCONEE HEALTH CARE LLC

Doing business as

Oconee Health and Rehabilitation

Practice address

107 Ridgeview Dr
Oconee, GA 31067-0130

Phone

(478) 552-7831

Fax

(478) 552-4008

NPI assigned

Jun 12, 2006

Last updated

Mar 21, 2017By 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

Arnetria Prosser

Title

Administrator

Phone

(478) 552-7381

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oconee Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1659313716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "OCONEE",
            "state": "GA",
            "postal_code": "310670130",
            "telephone_number": "478-552-7831",
            "fax_number": "478-552-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIDGEVIEW DR",
            "city": "OCONEE",
            "state": "GA",
            "postal_code": "310670130",
            "telephone_number": "478-552-7831",
            "fax_number": "478-552-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "PROSSER",
        "authorized_official_first_name": "ARNETRIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-552-7381"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-150-1702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142293A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51552324 001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oconee Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellas Angels Homecare LLC

• Skilled Nursing Facility in Oconee, GA
• Providers in Oconee, 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 Mar 21, 2017; 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.