Erin Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-087-1983 Issued in GA

Legal business name

ERIN NURSING LLC

Practice address

606 Simmons Street
Dublin, GA 31021-3918

Phone

(478) 272-1666

Fax

(478) 275-2146

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Boyd P Gentry Jr.

Title

President and Ceo

Phone

(937) 964-8974

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Southland Healthcare & Rehab. Center Doing business as

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1972558989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 TROY ROAD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028150",
            "telephone_number": "937-964-8974",
            "fax_number": "937-964-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SIMMONS STREET",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213918",
            "telephone_number": "478-272-1666",
            "fax_number": "478-275-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "937-964-8974",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-087-1633",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-087-1983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00143558A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland Healthcare & Rehab. Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Dublin, GA
• Providers in Dublin, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.