CPLACE CHATSWORTH SNF LLC (NPI# 1548791429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548791429 |
| Entity Type | Organization |
| Organization Name | CPLACE CHATSWORTH SNF LLC |
| Other Organization Name | CHATSWORTH HEALTH CARE CENTER |
| Practice Address |
102 Hospital Dr Chatsworth GA 30705-2058 |
| Mailing Address |
24641 Us Highway 19 N Clearwater FL 33763-5007 |
| Practice Telephone | 7066958313 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | VICTOR M MARCOS (CFO) |
| Authorized Official Telephone | 9172091431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-105-1014 | GA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Chatsworth Health Care Center | Doing Business As Name - Organization |
| Street Address |
102 HOSPITAL DR |
| City | CHATSWORTH |
| State | GA |
| Zip Code | 30705-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417923491 | Chatsworth Health Care Center, Inc. | Skilled Nursing Facility | 102 Hospital Dr, Chatsworth, GA 30705-2058 | 2006-02-28 |
| 1942785639 | Gachatsworth Snf LLC | Skilled Nursing Facility | 102 Hospital Dr, Chatsworth, GA 30705-2058 | 2018-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
| 1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
| 1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
| 1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
| 1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
| Find all providers in zip 30705 | ||||
| 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 |
|---|---|---|---|---|
| 1891148201 | South Pacific Rehabilitation Servisec | Skilled Nursing Facility | 10469 Larwin Ave Unit 4, Chatsworth, CA 91311-0314 | 2016-07-20 |
| 1982022869 | Caremeridian, LLC | Skilled Nursing Facility | 10339 Oso Ave, Chatsworth, CA 91311-2542 | 2014-03-28 |
| 1669758736 | Caremeridian, LLC | Skilled Nursing Facility | 10035 Oso Ave, Chatsworth, CA 91311-3944 | 2011-11-02 |
| 1265601991 | Caremeridian, LLC | Skilled Nursing Facility | 20621 Mayall St, Chatsworth, CA 91311-3110 | 2008-02-27 |
| 1184826679 | Caremeridian, LLC | Skilled Nursing Facility | 19856 Mayall St, Chatsworth, CA 91311-3521 | 2007-06-05 |
| 1730381229 | Caremeridian, LLC | Skilled Nursing Facility | 10318 Laramie St., Chatsworth, CA 91311-2530 | 2007-06-05 |
| 1396947180 | Caremeridian, LLC | Skilled Nursing Facility | 19640 Bermuda St., Chatsworth, CA 91311-1908 | 2007-06-04 |
| 1174601280 | Verdugo Valley Convalescent Hospital | Skilled Nursing Facility | 9420 Topanga Canyon Blvd, #207, Chatsworth, CA 91311-5759 | 2006-11-02 |
| 1164457644 | Goldstar Healthcare Center of Chatsworth, Inc. | Skilled Nursing Facility | 21820 Craggy View St, Chatsworth, CA 91311-2909 | 2006-07-12 |
| 1417923491 | Chatsworth Health Care Center, Inc. | Skilled Nursing Facility | 102 Hospital Dr, Chatsworth, GA 30705-2058 | 2006-02-28 |
| Find all providers in CHATSWORTH | ||||
| City | CHATSWORTH |
| Zip Code | 30705 |
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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.