JESUP HEALTHCARE LLC (NPI# 1679514434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679514434 |
| Entity Type | Organization |
| Organization Name | JESUP HEALTHCARE LLC |
| Other Organization Name | JESUP HEALTHCARE |
| Practice Address |
3100 Savannah Hwy Jesup GA 31545-5514 |
| Practice Telephone | 9124276873 |
| Practice Fax Number | 9125306713 |
| Mailing Telephone | 9124276873 |
| Mailing Fax Number | 9125306713 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-09-29 |
| Authorized Official Name | TYGH ANGWIN BROGDON (MANAGER) |
| Authorized Official Telephone | 7706508773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-151-1864 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000142689A | 05 |
| Other Name | Type Code |
|---|---|
| Jesup HealthCare | Doing Business As Name - Organization |
| Street Address |
3100 SAVANNAH HWY |
| City | JESUP |
| State | GA |
| Zip Code | 31545-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093793606 | Garland L. Martin | Internal Medicine | 3100 Savannah Hwy, Jesup, GA 31545-5514 | 2006-01-04 |
| 1952573040 | Jesup Operator LLC | Skilled Nursing Facility | 3100 Savannah Hwy, Jesup, GA 31545-5514 | 2008-03-28 |
| 1134338734 | Garland L Martin Md PC | Internal Medicine | 3100 Savannah Hwy, Jesup, GA 31545-5514 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| 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 |
|---|---|---|---|---|
| 1427093392 | Altamaha Nursing LLC | Skilled Nursing Facility | 1311 W Cherry St, Jesup, GA 31545-0614 | 2006-06-17 |
| 1588610935 | Beverly Health and Rehabilitation Services, Inc. | Skilled Nursing Facility | 1090 W Orange St, Jesup, GA 31545-0508 | 2006-05-26 |
| 1720439292 | Harborview Jesup, LLC | Skilled Nursing Facility | 1090 W Orange St, Jesup, GA 31545-0508 | 2016-06-27 |
| 1487001343 | Am Snf LLC | Skilled Nursing Facility | 1311 W Cherry St, Jesup, GA 31545-0614 | 2016-05-20 |
| 1710143185 | Altamaha Nursing LLC | Skilled Nursing Facility | 1311 W Cherry St, Jesup, GA 31545-0614 | 2008-08-05 |
| 1952573040 | Jesup Operator LLC | Skilled Nursing Facility | 3100 Savannah Hwy, Jesup, GA 31545-5514 | 2008-03-28 |
| 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.