Active NPI
Three Rivers Home Health Services, Inc.
- Home Health Agency
- Eastman, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 045-025
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00186766B | Medicaid | GA | |
| 00186766A | Medicaid | GA | |
| 00186766D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
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
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2022 | Change of Ownership | Three Rivers Home Health Services |
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.
-
- Physical Therapist
- Milan, GA
- NPI 1902446222
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.