Peachbelt Health and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-076-1576 Issued in GA

Legal business name

PEACHBELT HEALTH AND REHABILITATION CENTER LLC

Practice address

801 Elberta Rd
Warner Robins, GA 31093-1735

Phone

(478) 923-3156

Fax

(478) 923-9040

NPI assigned

Oct 19, 2005

Last updated

Oct 31, 2011By 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

Mrs. Deborah L Meade

Title

Operator

Phone

(478) 328-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1699764894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ELBERTA RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931735",
            "telephone_number": "478-923-3156",
            "fax_number": "478-923-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ELBERTA RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931735",
            "telephone_number": "478-923-3156",
            "fax_number": "478-923-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHBELT HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "478-328-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-076-1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142381A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Warner Robins, GA
• Providers in Warner Robins, 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 Oct 31, 2011; 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.