Thi of Georgia at Shamrock, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF GEORGIA AT SHAMROCK, LLC

Doing business as

Shamrock Nursing & Rehabilitation Center

Practice address

1634 Telfair St
Dublin, GA 31021-3115

Phone

(478) 272-1133

Fax

(478) 275-0548

NPI assigned

Oct 7, 2006

Last updated

Apr 8, 2008By 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

Beverly Barrentine

Title

President

Phone

(478) 272-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shamrock Nursing & Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1750478947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 TELFAIR ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213115",
            "telephone_number": "478-272-1133",
            "fax_number": "478-275-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF GEORGIA AT SHAMROCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BARRENTINE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-272-1133"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141281A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shamrock Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Dublin, GA
• Providers in Dublin, 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 Apr 8, 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.