C.R. of Lagrange, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

C.R. OF LAGRANGE, LLC

Doing business as

LaGrange Health and Rehab

Practice address

2111 W Point Rd
Lagrange, GA 30240-4047

Phone

(706) 812-9293

Fax

(706) 882-9506

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Michael E Winget Sr.

Title

Manager

Phone

(478) 994-3669

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LaGrange Health and Rehab Doing business as

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1831583830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404047",
            "telephone_number": "706-812-9293",
            "fax_number": "706-882-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404047",
            "telephone_number": "706-812-9293",
            "fax_number": "706-882-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.R. OF LAGRANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-994-3669",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000270245A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaGrange Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David J Buuck, PT DPT
• Laura D Byard, LPC
• Baxlee Bynum, M.ED, NCC
• Amanda Byrd, BSN, RN
• C H Pitts Enterprises, Inc.
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• Darnaisha Campbell, MA, CLC, DOULA
• Marcia Capshaw, LCSW

• Skilled Nursing Facility in Lagrange, GA
• Providers in Lagrange, 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 27, 2015; 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.