Visiting Nurses Assoc of Telfair Co. Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

134-073 Issued in GA

Legal business name

VISITING NURSES ASSOC OF TELFAIR CO. INC

Practice address

1650 S Third Ave.
McRae, GA 31055-0253

Phone

(229) 868-6422

Fax

(229) 868-2471

NPI assigned

Dec 13, 2006

Last updated

Jul 23, 2008By 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. Yvonne V. Ertzberger, ADM.

Title

Administrator

Phone

(229) 868-6422

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VNA of Telfair County Inc. Other name

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1881755940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S THIRD AVE.",
            "address_2": "P.O. BOX 253",
            "city": "MCRAE",
            "state": "GA",
            "postal_code": "310550253",
            "telephone_number": "229-868-6422",
            "fax_number": "229-868-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S THIRD AVE.",
            "city": "MCRAE",
            "state": "GA",
            "postal_code": "310550253",
            "telephone_number": "229-868-6422",
            "fax_number": "229-868-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSES ASSOC OF TELFAIR CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "ERTZBERGER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-868-6422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADM."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "134-073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00190033A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA of Telfair County Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in McRae, GA
• Providers in McRae, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.