Organization Active NPI

Three Rivers Home Health Services, Inc.

  • Nursing Care Agency
  • Eastman, GA
National Provider Identifier
1891720751
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
045-R-0004 Issued in GA
Legal business name
THREE RIVERS HOME HEALTH SERVICES, INC.
Practice address
208 Foster St
Eastman, GA 31023-6230
Phone
(478) 374-3468
Fax
(478) 374-6741
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Mr. Hal M Smith Jr.
Title
Executive Director
Phone
(478) 374-3468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 045-R-0004 GA Primary

Addresses

Primary practice location

208 Foster St
Eastman, GA 31023-6230

Mailing address

PO Box 640
Eastman, GA 31023-0640
Phone (478) 374-3468

Other identifiers 1

IdentifierTypeStateIssuer
045-R-0004OtherGAPRIVATE HOME CARE PROVIDE

Other names 1

  • Three Rivers Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

208 Foster St
Eastman, GA 31023
Phone (478) 374-3468

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1891720751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310230640",
            "telephone_number": "478-374-3468",
            "fax_number": "478-374-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FOSTER ST",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236230",
            "telephone_number": "478-374-3468",
            "fax_number": "478-374-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-374-3468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "045-R-0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOME CARE PROVIDE",
            "identifier": "045-R-0004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastman, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.