HLTC, INC. (NPI# 1477584886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477584886 |
| Entity Type | Organization |
| Organization Name | HLTC, INC. |
| Other Organization Name | REGENCY PARK HEALTH AND REHABILITATION |
| Practice Address |
1212 Broadrick Dr Dalton GA 30720-2503 |
| Practice Telephone | 7062708008 |
| Practice Fax Number | 7062708248 |
| Mailing Telephone | 7062708008 |
| Mailing Fax Number | 7062708248 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | GEORGE CARRAZANA (ADMINISTRATOR) |
| Authorized Official Telephone | 7062708008 |
| Is Organization Subpart | Y |
| Parent Organization Name | HLTC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-155-1591 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 51003598 001 | 01 | |
| GA | 000837207A | 05 |
| Other Name | Type Code |
|---|---|
| Regency Park Health and Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568494227 | Hltc, Inc. | Skilled Nursing Facility | 1102 Burleyson Rd, Dalton, GA 30720 | 2006-07-06 |
| 1184653677 | Hltc, Inc. | Skilled Nursing Facility | 1110 Burleyson Rd, Dalton, GA 30720-3016 | 2006-06-30 |
| 1134165079 | Hltc, Inc. | Skilled Nursing Facility | 1115 Professional Boulevard, Dalton, GA 30720-2628 | 2006-06-21 |
| Street Address |
1212 BROADRICK DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287612 | Joann H Bell | Nurse Practitioner | 1212 Broadrick Dr, Dalton, GA 30720-2503 | 2005-10-05 |
| 1083171524 | Katherine M Gibson | Occupational Therapy Assistant | 1212 Broadrick Dr, Dalton, GA 30720-2503 | 2019-02-20 |
| 1447760129 | Kimberly Bailey | Nurse Practitioner | 1212 Broadrick Dr, Dalton, GA 30720-2503 | 2017-10-06 |
| 1932128840 | Cynthia W Brown | Internal Medicine | 1212 Broadrick Dr, Dalton, GA 30720-2503 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| 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 |
|---|---|---|---|---|
| 1104185552 | Mark P. Elam, M.d., P.C. | Skilled Nursing Facility | 1115 Professional Blvd, Dalton, GA 30720-2628 | 2012-05-04 |
| 1568494227 | Hltc, Inc. | Skilled Nursing Facility | 1102 Burleyson Rd, Dalton, GA 30720 | 2006-07-06 |
| 1184653677 | Hltc, Inc. | Skilled Nursing Facility | 1110 Burleyson Rd, Dalton, GA 30720-3016 | 2006-06-30 |
| 1134165079 | Hltc, Inc. | Skilled Nursing Facility | 1115 Professional Boulevard, Dalton, GA 30720-2628 | 2006-06-21 |
| 1457338360 | Provide A Care Inc | Skilled Nursing Facility | 15028 Old Lincoln Way, Dalton, OH 44618-9731 | 2005-12-30 |
| 1619964707 | Dalton Health Group LLC | Skilled Nursing Facility | 265 Main St, Dalton, MA 01226-1614 | 2005-10-04 |
| 1710304621 | Gahcr II Dalton Snf Trs Sub, LLC | Skilled Nursing Facility | 265 Main St, Dalton, MA 01226-1614 | 2014-03-28 |
| 1699028282 | Videll Healthcare Craneville, LLC | Skilled Nursing Facility | 265 Main St, Dalton, MA 01226-1614 | 2012-10-19 |
| 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 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 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 |
| 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.