GIBSON HEALTH CARE LLC (NPI# 1245431691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245431691 |
| Entity Type | Organization |
| Organization Name | GIBSON HEALTH CARE LLC |
| Other Organization Name | KEYSVILLE NURSING HOME AND REHABILITATION CENTER |
| Practice Address |
1005 Highway 88 North Keysville GA 30816-4418 |
| Mailing Address |
Po Box 220 Keysville GA 30816-0220 |
| Practice Telephone | 7065472591 |
| Practice Fax Number | 7065472592 |
| Mailing Telephone | 7065472591 |
| Mailing Fax Number | 7065472592 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | JIM GIBSON (OWNER) |
| Authorized Official Telephone | 7065472591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000141655A | 05 |
| Other Name | Type Code |
|---|---|
| Keysville Nursing Home and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1005 HIGHWAY 88 NORTH |
| City | KEYSVILLE |
| State | GA |
| Zip Code | 30816-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174514160 | Keysville Nursing Home & Rehabilitation Center | Skilled Nursing Facility | 1005 Highway 88 North, Keysville, GA 30816 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
| 1619350287 | Erskine Cartwright IIi | Pharmacist | 1205 Hwy 88, Keysville, GA 30816 | 2015-07-01 |
| 1609248996 | Neighborhood Improvement Project Inc | Clinic/Center | 480 Martin Luther King Rd, Ste B, Keysville, GA 30816-4444 | 2015-10-26 |
| 1538717855 | Natasha Walker | Technician | 809 Four Points Rd W, Keysville, GA 30816-4551 | 2019-08-29 |
| 1922539709 | Unleashed Potential Counseling and Services, LLC | Community/Behavioral Health | 4729 Quaker Rd, Administration Suite, Keysville, GA 30816-4950 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891334199 | Jerry M Lawrence | Non-emergency Medical Transport (VAN) | 21 Pine Rd, Keysville, VA 23947-2018 | 2020-01-03 |
| 1538717855 | Natasha Walker | Technician | 809 Four Points Rd W, Keysville, GA 30816-4551 | 2019-08-29 |
| 1679139166 | Venetia Arvin | Case Management | 117 Arvin St, Keysville, VA 23947 | 2019-05-10 |
| 1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
| 1700366523 | Pradeepika Samagh | Physical Therapist | 730 Lunenburg County Rd, Keysville, Va 23947, Keysville, VA 23947 | 2018-08-21 |
| 1588156277 | Campbell's Quality Care, Corporation | Case Management | 1230 Wilson Farm Rd, Keysville, VA 23947-2811 | 2018-05-30 |
| 1811406556 | Joshua David Hutchinson | Physical Therapist | 730 Lunenburg County Drive, Keysville, VA 23947-3656 | 2017-09-26 |
| 1922539709 | Unleashed Potential Counseling and Services, LLC | Community/Behavioral Health | 4729 Quaker Rd, Administration Suite, Keysville, GA 30816-4950 | 2017-03-23 |
| 1245688738 | Sara Butkovich | Chiropractor | 176 King St, Keysville, VA 23947-0024 | 2016-05-25 |
| 1609248996 | Neighborhood Improvement Project Inc | Clinic/Center | 480 Martin Luther King Rd, Ste B, Keysville, GA 30816-4444 | 2015-10-26 |
| Find all providers in KEYSVILLE | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861937187 | Organnizer | Nursing Facility/Intermediate Care Facility | 2320 Highway 20 Se, Conyers, GA 30013-2426 | 2016-12-22 |
| 1508228370 | Correcthealth Gdc, LLC | Nursing Facility/Intermediate Care Facility | 1 Bostick Cir, Milledgeville, GA 31062-7526 | 2016-03-22 |
| 1760856645 | 363l00000x | Nursing Facility/Intermediate Care Facility | 2171 Peachtree Rd Ne, Apt 306, Atlanta, GA 30309-6300 | 2015-11-16 |
| 1568846798 | Your Elite Companion Sitting and Healthcare Services | Nursing Facility/Intermediate Care Facility | 3235 Satellite Blvd, Bldg 400 Suite 300, Duluth, GA 30096-8687 | 2015-07-17 |
| 1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
| 1255768024 | Department of Juvenile Justice | Nursing Facility/Intermediate Care Facility | 450 Crescent Dr, Gainesville, GA 30501-5079 | 2013-10-10 |
| 1043576812 | Call To Arm | Nursing Facility/Intermediate Care Facility | 4066 Christacy Way, Marietta, GA 30066-2786 | 2012-04-06 |
| 1881824928 | Tedla-kebede Corp | Nursing Facility/Intermediate Care Facility | 3424 Old Suttons Way, Marietta, GA 30062-4187 | 2009-07-23 |
| 1164642484 | Skidaway Health and Living Services, Inc. | Nursing Facility/Intermediate Care Facility | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2007-04-27 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| Find all providers with the same taxonomy | ||||
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| 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.