Organization Active NPI

Three Rivers Home Health Services, Inc.

  • Home Health Agency
  • Eastman, GA
National Provider Identifier
1811927593
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
045-025 Issued in GA
Legal business name
THREE RIVERS HOME HEALTH SERVICES, INC.
Practice address
205 Foster St
Eastman, GA 31023-6231
Phone
(478) 374-2027
Fax
(478) 374-3423
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Mr. Hal M Smith Jr.
Title
Executive Director
Phone
(478) 374-3468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 045-025 GA Primary

Addresses

Primary practice location

205 Foster St
Eastman, GA 31023-6231

Mailing address

PO Box 640
Eastman, GA 31023-0640
Phone (478) 374-3468

Other identifiers 3

IdentifierTypeStateIssuer
00186766BMedicaidGA
00186766AMedicaidGA
00186766DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

205 Foster St
Eastman, GA 31023
Phone (478) 374-2027

609 Ponder Place Dr
Ste A
Evans, GA 30809
Phone (706) 855-2609

1760 Bass Rd
Ste 103
Macon, GA 31210
Phone (478) 405-1474

281 Carl Vinson Pkwy
Ste J
Warner Robins, GA 31088
Phone (478) 929-1410

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2022 Change of OwnershipThis provider was the seller Three Rivers Home Health ServicesCCN 117053, GA, NPI 1588392526

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1811927593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310230640",
            "telephone_number": "478-374-3468",
            "fax_number": "478-374-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FOSTER ST",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236231",
            "telephone_number": "478-374-2027",
            "fax_number": "478-374-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-374-3468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "045-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00186766B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00186766A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00186766D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

Verify at the official NPI Registry.