RESTORATION HEALTHCARE OF COMMERCE, LLC (NPI# 1376860403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376860403 |
| Entity Type | Organization |
| Organization Name | RESTORATION HEALTHCARE OF COMMERCE, LLC |
| Other Organization Name | BJC NURSING HOME |
| Practice Address |
70 Medical Center Dr Commerce GA 30529-1078 |
| Practice Telephone | 7063351000 |
| Practice Fax Number | 7063357701 |
| Mailing Telephone | 7063351000 |
| Mailing Fax Number | 7063357701 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |
| Authorized Official Name | MR. STEPHEN N CLAPP (PRESIDENT) |
| Authorized Official Telephone | 8656079923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 1-078-0292 | GA | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1-078-0292 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000059331A | 05 |
| Other Name | Type Code |
|---|---|
| BJC Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427376136 | Restoration Healthcare of Commerce, LLC | Medicare Defined Swing Bed Unit | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2010-05-06 |
| Street Address |
70 MEDICAL CENTER DR |
| City | COMMERCE |
| State | GA |
| Zip Code | 30529-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548250939 | Banks-jackson-commerce Hospital and Nursing Home Authority | General Acute Care Hospital | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2005-10-26 |
| 1851890206 | Belmont Physician Services, PC | Hospitalist | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2018-02-12 |
| 1841799293 | Belmont Emergency Physicians, PC | Nurse Practitioner | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2018-02-12 |
| 1316310196 | Daybreak Emergency Physicians, LLC | Emergency Medicine | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2015-11-03 |
| 1942692470 | Georgia Radiology Associates LLC | Radiology | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2015-02-20 |
| 1821341272 | Commerce Radiology, LLC | Radiology | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2012-10-23 |
| 1699021576 | Commerce Physicians Group LLC | Hospitalist | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2012-07-30 |
| 1801166699 | Cobb Psychiatric Care, LLC | General Acute Care Hospital | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2012-01-10 |
| 1740577949 | Restoration Healthcare of Commerce LLC | Durable Medical Equipment & Medical Supplies | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2011-07-08 |
| 1841511201 | Restoration Healthcare | Medicare Defined Swing Bed Unit | 70 Medical Center Dr, Commerce, GA 30529-1078 | 2010-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
| 1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
| 1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
| 1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
| 1386802155 | Urgent Care Banks Crossing LLC | Pain Medicine | 415 B Pottery Factory Drive, Commerce, GA 30529 | 2008-05-29 |
| 1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
| 1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
| 1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
| 1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
| Find all providers in zip 30529 | ||||
| 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 |
|---|---|---|---|---|
| 1417058470 | Eastwood Manor, LLC | Nursing Facility/Intermediate Care Facility | 519 N Mickey Mantle Blvd, Commerce, OK 74339-1127 | 2006-09-25 |
| 1871596239 | West Winds Nursing Home | Nursing Facility/Intermediate Care Facility | 10765 Bogie Lake Rd, Commerce, MI 48382-2426 | 2005-05-31 |
| 1205818903 | Restoration Healthcare of Commerce LLC | Nursing Facility/Intermediate Care Facility | 100 Medical Center Drive, Commerce, GA 30529-1079 | 2005-11-17 |
| 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.