Hog Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HOG HOLDINGS LLC

Practice address

815 Legion Dr
Eastman, GA 31023-6782

Phone

(478) 374-5571

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Barry Shisgal

Title

Manager/Director

Phone

(786) 888-3310

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heart of Georgia Doing business as

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1669625786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LEGION DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236782",
            "telephone_number": "478-374-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LEGION DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236782",
            "telephone_number": "478-374-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOG HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "SHISGAL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MANAGER/DIRECTOR",
        "authorized_official_telephone_number": "786-888-3310"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141358A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "11-5471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Eastman, GA
• Providers in Eastman, 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 Nov 3, 2008; 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.