Rejuvia House

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

REJUVIA HOUSE

Practice address

9160 Lakeside Way
Gainesville, GA 30506-6224

Phone

(770) 205-5353

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Courtney Breana Ratliff, ADM, MBA, MPMNPI 1508434796

Title

Administrator & Secretary

Phone

(843) 680-1694

Specialties & licenses 1

Addresses

Practitioners 1

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

• Courtney Breana Ratliff, MBA, ADM, MPM

  • Nursing Home Administrator
  • Gainesville, GA
  • NPI 1508434796
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1871161091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 LAKESIDE WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066224",
            "telephone_number": "770-205-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 LAKESIDE WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066224",
            "telephone_number": "770-205-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVIA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "BREANA",
        "authorized_official_title_or_position": "ADMINISTRATOR & SECRETARY",
        "authorized_official_telephone_number": "843-680-1694",
        "authorized_official_credential": "ADM, MBA, MPM"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winifred W Register, AAC
• Joan Reid-Sievenpiper
• Joan Charlene Reilly, PHARM.D.
• Melanie Reilly, CCC-SLP
• Andrew Bradley Reisman, MD
• Renaissance Gainesville 1, LLC (Amber Glen Personal/Memory Care)
• Renal Care Group Gainesville East, LLC (RCG Gainesville)
• Renal Care Group Gainesville, LLC (RCG Lake Lanier)
• Renal Treatment Centers Mid Atlantic Inc (Gainesville Dialysis)
• Laurice Dawn Repke

• Adult Care Home Facility in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.