Organization Active NPI

Lagrange Troup County Hospital Authority

Doing business as Florence Hand Home

  • Skilled Nursing Facility
  • Lagrange, GA
National Provider Identifier
1811961659
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY
Doing business as
Florence Hand Home
Practice address
200 Medical Dr
Florence Hand Home
Lagrange, GA 30240-4153
Phone
(706) 845-3256
Fax
(706) 845-3902
NPI assigned
Feb 16, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Mr. Gerald N Fulks
Title
President Ceo
Phone
(706) 845-3244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

200 Medical Dr
Florence Hand Home
Lagrange, GA 30240-4153

Mailing address

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 845-3256

Other identifiers 1

IdentifierTypeStateIssuer
00207083AMedicaidGA

Other names 1

  • Florence Hand Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1811961659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "706-845-3256",
            "fax_number": "706-845-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL DR",
            "address_2": "FLORENCE HAND HOME",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404153",
            "telephone_number": "706-845-3256",
            "fax_number": "706-845-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "FULKS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "706-845-3244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00207083A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Hand Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.