Gerdie and Louise PCH

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

121010101 Issued in GA

Legal business name

GERDIE AND LOUISE PCH

Practice address

104 Robbins St
Sylvania, GA 30467-2532

Phone

(912) 515-5030

NPI assigned

Apr 8, 2011

Last updated

Apr 8, 2011By 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

Ms. Jusitne Taylor Lewis

Title

Owner

Phone

(912) 515-5030

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gerdie and Louise PCH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gerdie and Louise Personal Care Home, L.L.C.

  • Community/Behavioral Health Agency
  • Sylvania, GA
  • NPI 1477996254
  NPD tax ID

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1821388133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HARDEN RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582717",
            "telephone_number": "912-515-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ROBBINS ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672532",
            "telephone_number": "912-515-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERDIE AND LOUISE PCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JUSITNE",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-515-5030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "121010101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "996863388A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Georgia Healthcare Center Inc
• Evergreen Counseling Services, LLC
• Faith Forward Transit, LLC.
• James Cleveland Freeman Jr., RPH
• Ga Opco LLC (Pine View Nursing and Rehab Center)
• Gerdie and Louise Personal Care Home, L.L.C.
• Graceful Carriers, LLC.
• Mylissa McGaha Gregory, PA-C
• Christopher Lee Griner, PHARMD
• C. Edward Hagan, D.D.S.

• Community/Behavioral Health Agency in Sylvania, GA
• Providers in Sylvania, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.