Healthcare of Berrien County, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10101119 Issued in GA

Legal business name

HEALTHCARE OF BERRIEN COUNTY, INC.

Practice address

405 Laurel St
Nashville, GA 31639-2571

Phone

(229) 543-7318

Fax

(229) 543-1724

NPI assigned

Jan 6, 2007

Organization subpart

No

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

Authorized official

Name

Demaris Hughes

Title

Adminstrator

Phone

(229) 543-7309

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Berrien Nursing Center, Inc. Doing business as

Locations

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710035969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAUREL ST",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392571",
            "telephone_number": "229-543-7318",
            "fax_number": "229-543-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAUREL ST",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392571",
            "telephone_number": "229-543-7318",
            "fax_number": "229-543-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE OF BERRIEN COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "DEMARIS",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "229-543-7309"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10101119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00143382A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berrien Nursing Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Hall
• Kalee Williams Hamilton, PTA
• Healthcare of Berrien County
• Healthcare of Berrien County
• Healthcare of Berrien County, Inc.
• Rachel Dale Heath, COTA/L
• Erika Lynn Hembree, PHARM D
• Leigh Hendley, FNP-C
• Hometown Pharmacy
• Hospital Authority of Valdosta and Lowndes County, Georgia

• All providers in Nashville, GA
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.