The Orchard at Stone Creek, Inc.

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

THE ORCHARD AT STONE CREEK, INC.

Practice address

4900 Tillman Xing
Hahira, GA 31632-4108

Phone

(229) 531-1381

NPI assigned

Oct 19, 2019

Organization subpart

Yes

Parent organization

THE ORCHARD AT STONE CREEK, INC.As reported in NPPES

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

Authorized official

Name

Fred Howard McGill

Title

Owner

Phone

(229) 531-1381

Specialties & licenses 1

Addresses

Other names 1

• The Orchard at Stone Creek Doing business as

Part of

The Orchard at Stone Creek Inc

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571443200000",
    "number": "1972146256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 TILLMAN XING",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316324108",
            "telephone_number": "229-531-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 TILLMAN XING",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316324108",
            "telephone_number": "229-531-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORCHARD AT STONE CREEK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ORCHARD AT STONE CREEK, INC.",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-531-1381"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orchard at Stone Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Stankiewicz
• Gloria Shavonda Stanley
• Ste Counseling Services, Inc.
• Laura Swails, LCSW
• Misty Tabisula
• Henry Young Tillman III, D.D.S.
• Natassia N Trimble
• Sandra Diane Tyree, IDC
• V Elizabeth Bryant Counseling LLC
• Jennifer Washington

• Nursing Facility Supplies (DME) in Hahira, GA
• Providers in Hahira, GA by specialty
• Nursing Facility Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; 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.