CHC -University Nursing & Rehab Ctr, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10291762 Issued in GA

Legal business name

CHC -UNIVERSITY NURSING & REHAB CTR, LLC

Doing business as

University Nursing & Rehabilitation Center

Practice address

180 Epps Bridge Rd
Suite 201
Athens, GA 30606-3312

Phone

(706) 549-5382

Fax

(706) 613-0991

NPI assigned

Jun 23, 2005

Last updated

Mar 21, 2014By 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

Mr. Mitchell Starer

Title

Authorized Representative

Phone

(914) 390-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• University Nursing & Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1760488852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 EPPS BRIDGE RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063312",
            "telephone_number": "706-549-5382",
            "fax_number": "706-613-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 EPPS BRIDGE RD",
            "address_2": "SUITE 201",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063312",
            "telephone_number": "706-549-5382",
            "fax_number": "706-613-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC -UNIVERSITY NURSING & REHAB CTR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "STARER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "914-390-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10291762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00140533A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Athens, GA
• Providers in Athens, 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 Mar 21, 2014; 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.