KEYSVILLE LTC MANAGEMENT LLC (NPI# 1043878721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043878721 |
| Entity Type | Organization |
| Organization Name | KEYSVILLE LTC MANAGEMENT LLC |
| Practice Address |
1005 Ga Highway 88 Blythe GA 30805-3911 |
| Practice Telephone | 7065472591 |
| Practice Fax Number | 7065472591 |
| Mailing Telephone | 7065472591 |
| Mailing Fax Number | 7065472591 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | DAVID ANDREW PARKER (MEMBER) |
| Authorized Official Telephone | 6784807564 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Keysville Nursing Home & Rehab | Doing Business As Name - Organization |
| Street Address |
1005 GA HIGHWAY 88 |
| City | BLYTHE |
| State | GA |
| Zip Code | 30805-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144668674 | Regina Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4072 Bath Edie Rd, Blythe, GA 30805-3600 | 2013-06-06 |
| 1689945909 | Csb of East Central Georgia | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4054 Bath Edie Rd, Blythe, GA 30805-3600 | 2012-01-18 |
| 1356520696 | Sandra Arlene Adams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2007-11-02 |
| 1043541709 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2010-01-20 |
| 1912210501 | Hill's House | Assisted Living Facility | 3649 Highway 88, Blythe, GA 30805-3620 | 2010-07-23 |
| 1356717797 | Erica R. Griffin LLC | Counselor | 561 Poole Melton Rd, Blythe, GA 30805-3813 | 2015-08-20 |
| 1831453604 | Michael Thomas Cavender | Family Medicine | 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30805-5650 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003436940 | County of Riverside | Community/Behavioral Health | 1225 W Hobsonway, Blythe, CA 92225-1423 | 2020-04-21 |
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1982250650 | Brighter Path Recovery Center LLC | Clinic/Center | 286 E Hobsonway, Blythe, CA 92225-1731 | 2019-08-17 |
| 1316407141 | Jennifer Cherie Han-rivas | Speech-Language Pathologist | 208 W Hobsonway, Blythe, CA 92225-1619 | 2019-03-20 |
| 1477025484 | Sayed N Ally | Pharmacist | 616 E Hobsonway, Blythe, CA 92225-1739 | 2019-01-02 |
| 1164994554 | Anna Rangel | Behavior Technician | 15033 S Lovekin Blvd, Blythe, CA 92225-9444 | 2018-12-22 |
| 1760957435 | V & E Management and Consulting | Transportation Broker | 159 N 1st St, Blythe, CA 92225-1701 | 2018-10-09 |
| 1235624081 | Tiffany Elaine Wade | Dentist | 146 S Broadway, Blythe, CA 92225-2502 | 2018-06-25 |
| 1215429170 | Lilja Susan Whiting | Case Manager/Care Coordinator | 240 N Broadway, Blythe, CA 92225-1609 | 2018-06-05 |
| 1467943811 | County of Riverside | Community/Behavioral Health | 249 N Spring St, Blythe, CA 92225 | 2018-05-22 |
| Find all providers in BLYTHE | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450528 | Bncc, Inc. | Skilled Nursing Facility | 285 W Chanslor Way, Blythe, CA 92225-1246 | 2005-07-12 |
| 1194120030 | Blythe Post Acute LLC | Skilled Nursing Facility | 285 W Chanslor Way, Blythe, CA 92225-1246 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281982 | Georgia Regional Health Services LLC | Skilled Nursing Facility | 3731 Lake Pass Ln, Suwanee, GA 30024-8422 | 2020-09-30 |
| 1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1205486859 | Magnolia Manor of Liberty County, Inc. | Skilled Nursing Facility | 625 N Coastal Hwy # 17, Midway, GA 31320-3433 | 2019-09-16 |
| 1497301170 | Prestige Health Services LLC | Skilled Nursing Facility | 1770 Indian Trail Lilburn Rd Ste 420, Norcross, GA 30093-2644 | 2019-08-17 |
| 1689131724 | Favor Home Health Care Services, LLC | Skilled Nursing Facility | 51 Gallery Ct, Acworth, GA 30101-2709 | 2019-02-25 |
| 1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 1679097240 | Golden Bridges Assisted Living Incorporated | Skilled Nursing Facility | 3186 Evans Mill Rd, Lithonia, GA 30038-2420 | 2017-07-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KEYSVILLE LTC MANAGEMENT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.