NPIMap

Organization Active NPI

Union County Hospital Authority

  • Skilled Nursing Facility
  • Blairsville, GA
National Provider Identifier
1902867732
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
11444612 Issued in GA
Legal business name
UNION COUNTY HOSPITAL AUTHORITY
Practice address
164 Nursing Home Cir
Blairsville, GA 30512-3117
Phone
(706) 745-4948
Fax
(706) 745-1971
NPI assigned
Mar 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Mr. Nicholas Colby Townsend
Title
Cfo
Phone
(706) 745-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 11444612 GA Primary

Addresses

Primary practice location

164 Nursing Home Cir
Blairsville, GA 30512-3117

Mailing address

164 Nursing Home Cir
Blairsville, GA 30512-3117
Phone (706) 745-4948

Other identifiers 1

IdentifierTypeStateIssuer
000143415AMedicaidGA

Other names 1

  • Union County Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120302000222 GA Part A Provider - Skilled Nursing Facility 3779490503 Practice locations: Blairsville, GA

Skilled nursing facility certification: CCN 115695

Legal name
UNION COUNTY HOSPITAL AUTHORITY
Doing business as
UNION COUNTY NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 2005
Last certification
Jul 1, 2024
Beds
150
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 1997 in GA
Enrollment address
164 Nursing Home Circle
Blairsville, GA 30512-3117
Nursing home name
UNION COUNTY NURSING HOME

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Union County Nursing HomeCCN 115695
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150109.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0261450Union County Nursing Home164 Nursing Home Circle, Blairsville, GA 30512Certificate of waiverJun 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Chatuge Primary Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rick Davenport Individual Corporate DirectorBoard Member Jan 1, 2019
Michael Dean Gay Individual Corporate OfficerChief Operating Officer Jun 1, 2016
Adp of the SNF Jun 1, 2016
Christal L Burnette Individual Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2021
Greg Owenby Individual Corporate DirectorBoard Member Jan 1, 2019
Debra a Self Individual Operational/Managerial Control Jun 10, 2016
Trustee of the SNF Jun 10, 2016
Adp of the SNF Jun 10, 2016
Alan M Sanders Individual Adp of the SNF Feb 21, 2025
Nicholas C Townsend Individual Corporate DirectorCfo Apr 15, 2016 100%
Operational/Managerial Control Apr 15, 2016
Trustee of the SNF Apr 15, 2016
Adp of the SNF Apr 15, 2016
Thomas D Gary Individual Corporate DirectorBoard Member Jan 1, 2019
Dinah Paris Individual Corporate DirectorVice-Chairperson May 18, 2010
Steven Rowe Individual Corporate DirectorBoard Member Jul 1, 2015
Kevin L Bierschenk Individual Corporate DirectorChief Executive Officer Feb 25, 2019
Trustee of the SNF Feb 25, 2019
Adp of the SNF Feb 25, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chatuge Regional Hospital IncHiawassee, GA, CCN 111324 Hospital Operational/Managerial Control Nov 1, 1999
Union General HospitalBlairsville, GA, CCN 11U051 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2007
Chatuge Regional Hospital IncHiawassee, GA, CCN 11M324 Hospital Operational/Managerial Control Oct 17, 2007
Chatuge Regional Hospital IncHiawassee, GA, CCN 11Z324 Hospital Operational/Managerial Control (100%) Nov 1, 1999
Chatuge Regional Nursing HomeHiawassee, GA, CCN 115701 Skilled nursing facility Trustee of the SNF
Adp of the SNF		 Nov 1, 1999
Mar 3, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1902867732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 NURSING HOME CIR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123117",
            "telephone_number": "706-745-4948",
            "fax_number": "706-745-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 NURSING HOME CIR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123117",
            "telephone_number": "706-745-4948",
            "fax_number": "706-745-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "COLBY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-745-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "11444612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000143415A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.