Lagrange Troup County Hospital Authority

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY

Practice address

120 Glenn Bass Rd
Lagrange, GA 30240-5809

Phone

(706) 845-3291

Fax

(706) 845-3902

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gerald N Fulks

Title

President Ceo

Phone

(706) 845-3244

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Georgia Home Care Doing business as

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1720052863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "706-845-3291",
            "fax_number": "706-845-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GLENN BASS RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405809",
            "telephone_number": "706-845-3291",
            "fax_number": "706-845-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "FULKS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "706-845-3244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00145681A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Georgia Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lagrange Primary Care PC
• Lagrange Trails of Journey LLC
• Lagrange Troup County Hospital Authority
• Lagrange Troup County Hospital Authority
• Lagrange Troup County Hospital Authority
• Lagrange Troup County Hospital Authority
• Lagrange Troup County Hospital Authority
• Lagrange Troup County Hospital Authority
• Lagrange Urgent Care Inc.
• Lagrange-Troup County Hospital Authority

• All providers in Lagrange, GA
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.