WWLTACH LLC


Address: 1821 Clifton Rd Ne, Ne, Atlanta, GA 30329-4021
Phone: 4047286200

WWLTACH LLC (NPI# 1417367558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417367558
Entity Type Organization
Organization Name WWLTACH LLC
Other Organization Name SELECT SPECIALTY HOSPITAL - NORTHEAST ATLANTA
Practice Address 1821 Clifton Rd Ne
Ne
Atlanta
GA 30329-4021
Mailing Address 4714 Gettysburg Rd
Legal Dept
Mechanicsburg
PA 17055-4325
Practice Telephone 4047286200
Mailing Telephone 7179721100
Enumeration Date 2014-04-29
Last Update Date 2014-12-04
Authorized Official Name MICHAEL TARVIN (VICE PRESIDENT)
Authorized Official Telephone 7179721100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282E00000X Long Term Care Hospital Hospitals

Other Provider/Organization Names

Other Name Type Code
Select Specialty Hospital - Northeast Atlanta Doing Business As Name - Organization

Office Location

Street Address 1821 CLIFTON RD NE
NE
City ATLANTA
State GA
Zip Code 30329-4021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770560294 Emory University General Acute Care Hospital 1821 Clifton Rd Ne, Atlanta, GA 30329-4021 2005-12-27
1427415959 Jessica Michael Bowers Nurse Practitioner 1821 Clifton Rd Ne, Atlanta, GA 30329-4021 2016-01-28
1740666403 Lindsay Penny Prizer Social Worker 1821 Clifton Rd Ne, Suite 1046, Atlanta, GA 30329-4021 2015-08-05
1508280249 Jessica Scott Thompson Nurse Practitioner 1821 Clifton Rd Ne, Suite 1046, Atlanta, GA 30329-4021 2014-02-18
1447504741 Karine Leigh Shearon Nurse Practitioner 1821 Clifton Rd Ne, Atlanta, GA 30329-4021 2012-11-08
1003163981 Susan Peterson-hazan Social Worker 1821 Clifton Rd Ne, Atlanta, GA 30329-4021 2012-08-09
1952677015 Quintesia L Grant Internal Medicine 1821 Clifton Rd Ne, Suite 1046, Atlanta, GA 30329-4021 2012-03-22
1689959876 Deborah Church Stout Nurse Practitioner 1821 Clifton Rd Ne, Wesley Woods Outpatient Center, Room 106, Atlanta, GA 30329-4021 2011-10-19
1326352972 Quintina L Macauley Nurse Practitioner 1821 Clifton Rd Ne, Atlanta, GA 30329-4021 2010-08-05
1518285956 Sivan Mazal Ben-moshe Internal Medicine 1821 Clifton Rd Ne, Atlanta, GA 30329-4021 2010-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871084111 Inner Peace Counseling Services,llc Counselor 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 2018-05-22
1912409392 Joie De Vivre Counseling and Therapy Counselor 2801 Buford Highway, Ne, Atlanta, GA 30329 2018-03-01
1902329105 Barbara Dunbar Psychologist 1777 Northeast Expressway, #175, Atlanta, GA 30329 2017-07-19
1114449048 Cricket Cheyenne Gullickson Student in an Organized Health Care Education/Training Program 1371 Briarvista Way Ne, Atlanta, GA 30329 2017-07-12
1902357866 Carla Zimmerly Nurse Practitioner 1711 Tullie Circle, Atlanta, GA 30329 2016-10-17
1316490808 Shahzad Ghori Student in an Organized Health Care Education/Training Program 1727 Druid Oaks Ne, Atlanta, GA 30329 2016-08-01
1023467768 Ashley Elliott Physician Assistant 59 Executive Park, Atlanta, GA 30329 2016-06-03
1285096115 Kimberley Fox Internal Medicine 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 2016-03-21
1275991648 Mary Patricia Joyce Internal Medicine 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 2016-02-01
1346656618 Amelia Muniz Hernandez Pediatrics 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 2014-07-08
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Taxonomy Information

Taxonomy Code 282E00000X
Grouping Hospitals
Classification Long Term Care Hospital

Taxonomy Definition

Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Notes: Source: American Hospital Association [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235598095 Select Specialty Hospital - Midtown Atlanta, LLC Long Term Care Hospital 705 Juniper St Ne, Ne, Atlanta, GA 30308-1307 2016-02-22
1801269618 Drayton Medical Care Inc Long Term Care Hospital 326 Nelson St Sw, Atlanta, GA 30313-1349 2015-11-03
1285086579 Lisa Ann Ruger Long Term Care Hospital 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 2016-07-11
1407005986 Atlanta Medical Center Long Term Care Hospital 303 Parkway Dr Ne, Atlanta, GA 30312-1212 2008-09-09
1871678326 Kindred Hospitals Limited Partnership Long Term Care Hospital 705 Juniper St Ne, Atlanta, GA 30308-1307 2006-10-25
1629055199 Wesley Woods Long Term Hospital, Inc Long Term Care Hospital 1821 Clifton Rd Ne, Atlanta, GA 30329-4021 2005-12-27
1952307811 American Transitional Hospitals LLC Long Term Care Hospital 550 Peachtree St Ne, 7th Floor, Woodruff Building, Atlanta, GA 30308-2209 2005-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740452820 Landmark Hospital of Athens, LLC Long Term Care Hospital 775 Sunset Drive, Athens, GA 30606 2008-03-28
1447252044 Regency Hospital Company of Macon LLC Long Term Care Hospital 535 Coliseum Dr, Macon, GA 31217-0104 2005-08-12
1750383584 Regency Hospital Company of South Atlanta, LLC Long Term Care Hospital 1170 Cleveland Ave, Suite 217, East Point, GA 30344-3615 2005-08-11
1114928926 Decatur Health Resources, Inc. Long Term Care Hospital 450 N Candler St, Decatur, GA 30030-2626 2005-08-02
1194722389 Select Specialty Hospital - Augusta Inc Long Term Care Hospital 1537 Walton Way, Augusta, GA 30904-3764 2005-07-01
1720084734 Affabilis LLC Long Term Care Hospital 616 19th St, Columbus, GA 31901-1528 2005-06-23
1982090486 Roosevelt Warm Springs Rehabilitation & Specialty Hospitals Long Term Care Hospital 6135 Roosevelt Highway, Warm Springs, GA 31830-0280 2015-04-10
1417342072 Mercuer University School of Medicine Long Term Care Hospital 1550 College St, Macon, GA 31207-1500 2015-03-31
1427468362 Roosevelt Warm Springs Rehabilitation & Specialty Hospitals, Inc. Long Term Care Hospital 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 2014-04-30
1023436102 Landmark Hospital of Savannah LLC Long Term Care Hospital 800 E 68th St, Savannah, GA 31405-4710 2014-04-04
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Competitor

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City ATLANTA
Zip Code 30329

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Dataset Information

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.

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