REGENCY HOSPITAL COMPANY OF SOUTH ATLANTA, LLC


Address: 1170 Cleveland Ave, Suite 217, East Point, GA 30344-3615
Phone: 4044666250

REGENCY HOSPITAL COMPANY OF SOUTH ATLANTA, LLC (NPI# 1750383584) 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) 1750383584
Entity Type Organization
Organization Name REGENCY HOSPITAL COMPANY OF SOUTH ATLANTA, LLC
Other Organization Name REGENCY HOSPITAL OF SOUTH ATLANTA
Practice Address 1170 Cleveland Ave
Suite 217
East Point
GA 30344-3615
Mailing Address 4714 Gettysburg Rd
Legal Dpt
Mechanicsburg
PA 17055-4325
Practice Telephone 4044666250
Practice Fax Number 4044666267
Mailing Telephone 7179721100
Mailing Fax Number 7179759981
Enumeration Date 2005-08-11
Last Update Date 2010-09-20
Authorized Official Name MR. 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 HOSPL0190 GA Hospitals

Other Provider/Organization Names

Other Name Type Code
Regency Hospital of South Atlanta Doing Business As Name - Organization

Office Location

Street Address 1170 CLEVELAND AVE
SUITE 217
City EAST POINT
State GA
Zip Code 30344-3615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639712649 Marlana Wise Nurse Practitioner 1170 Cleveland Ave, East Point, GA 30344-3615 2019-10-22
1659838696 Kelly L Saunders Nurse Practitioner 1170 Cleveland Ave, East Point, GA 30344-3615 2019-02-26
1245795921 Anne C Hamner Physician Assistant 1170 Cleveland Ave, East Point, GA 30344-3615 2019-02-06
1376019190 William Middleton Murphy Physician Assistant 1170 Cleveland Ave, East Point, GA 30344-3615 2018-10-18
1437637063 Hospitalist Medicine Physicians of Georgia - East Point, PC Internal Medicine 1170 Cleveland Ave, East Point, GA 30344-3615 2018-08-06
1184101297 Valencia Mitonya Covington Registered Nurse 1170 Cleveland Ave, East Point, GA 30344-3615 2018-07-20
1609383512 Zakia Boston Specialist/Technologist, Other 1170 Cleveland Ave, East Point, GA 30344-3615 2018-01-02
1124556337 Sound Physicians of Georgia IIi PC Internal Medicine 1170 Cleveland Ave, East Point, GA 30344-3615 2017-06-01
1992153308 Amy Milewski Nurse Anesthetist, Certified Registered 1170 Cleveland Ave, East Point, GA 30344-3615 2016-05-25
1659733491 Stephen Jackson Emergency Medicine 1170 Cleveland Ave, East Point, GA 30344-3615 2016-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306468053 Comfortlink Healthcare, LLC Home Health 2691 Harris Street, Eastpoint, GA 30344 2020-05-15
1881159028 Brandon Norris Spires Specialist/Technologist 6000 S Terminal Pkwy, Atlanta, GA 30344 2019-02-01
1568983435 Rhonda Charlette Bussey Social Worker 3173 Delowe Dr, East Point, GA 30344 2017-06-30
1801324603 Megan Marie Timpone Physician Assistant 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 2017-05-24
1861837577 Propsych Behavioral Health Care Services LLC Community/Behavioral Health 1847 Washington Road, East Point, GA 30344 2013-05-08
1932459096 Kimberly Ann Bogard Counselor 4373 Sun Valley Blvd Rm A, East Point, GA 30344 2012-09-17
1376815621 Love Angels Home Health 307 Crest Ridge Dr., East Point, GA 30344 2012-02-02
1861701054 John Allen Reed IIi Physical Therapist 1657 Dorsey Ave., East Point, GA 30344 2010-10-05
1437482783 Winston Daniels Home Health Aide 5100 High Point Rd Ste.36, Union City, GA 30344 2009-09-17
1649405572 Kenyotta Hannah Counselor 1514 Cleveland Avenue, East Point, GA 30344 2009-05-21
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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 state

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
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
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
1285086579 Lisa Ann Ruger Long Term Care Hospital 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 2016-07-11
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
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Competitor

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City EAST POINT
Zip Code 30344

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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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