Hill Haven, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-078-1735 Issued in GA

Legal business name

HILL HAVEN, INC.

Practice address

800 Ridgeway Rd
Commerce, GA 30529-1396

Phone

(706) 336-8000

Fax

(706) 336-8340

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn H Blackmon

Title

Nha, President , Owner/Operator

Phone

(706) 283-2194

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hill Haven Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750353835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RIDGEWAY RD",
            "address_2": "PO BOX 396",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291396",
            "telephone_number": "706-336-8000",
            "fax_number": "706-336-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIDGEWAY RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291396",
            "telephone_number": "706-336-8000",
            "fax_number": "706-336-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL HAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "NHA, PRESIDENT , OWNER/OPERATOR",
        "authorized_official_telephone_number": "706-283-2194",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-078-1735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00448456A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Haven Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Hanson, RN-NP
• Harmony Grove Emergency Physicians LLC
• Cynthia Diane Hashem, OT
• Casey Haygood
• Hill Haven Opco, LLC
• Hill Medical Group
• Jessica Ledford Hill
• John Clark Hill II, MD
• Patricia Sue Hill
• Tracy Nelson Hilley, R.PH.

• Skilled Nursing Facility in Commerce, GA
• Providers in Commerce, 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 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.