FOUR COUNTY HEALTH CARE LLC


Address: 124 Overby Dr, Richland, GA 31825-1300
Phone: 2298872021

FOUR COUNTY HEALTH CARE LLC (NPI# 1811935356) 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) 1811935356
Entity Type Organization
Organization Name FOUR COUNTY HEALTH CARE LLC
Other Organization Name FOUR COUNTY HEALTH AND REHABILITATION
Practice Address 124 Overby Dr
Richland
GA 31825-1300
Mailing Address Po Box 339
Richland
GA 31825-0339
Practice Telephone 2298872021
Practice Fax Number 2298873978
Mailing Telephone 2298872021
Mailing Fax Number 2298873978
Enumeration Date 2006-06-04
Last Update Date 2013-04-09
Authorized Official Name STEVEN METHENY (ADMINISTRATOR)
Authorized Official Telephone 2298872021
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 1-128-1712 GA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 51001238 001 01
GA 00405292A 05

Other Provider/Organization Names

Other Name Type Code
Four County Health and Rehabilitation Doing Business As Name - Organization

Office Location

Street Address 124 OVERBY DR
City RICHLAND
State GA
Zip Code 31825-1300

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124229307 Careconnect Health, Inc. Clinic/Center 510 Alston St Ste A, Richland, GA 31825 2007-05-29
1023161577 New Horizons Csb Redhill Adult Group Counselor Route 2 Box 626, Richland, GA 31825 2007-01-19
1689723348 Ladona Marie Hunter Pharmacist 310 Alston St., Richland, GA 31825 2007-01-10
1063436624 Careconnect Health, Inc. Clinic/Center 510 Alston St Ste B, Richland, GA 31825 2006-07-27
1225181779 New Horizons Csb Stewart County C & A Counselor 504 Depot St, Richland, GA 31825-1015 2007-01-19
1235268053 Four County Health Care, LLC Respite Care 99 Overby Dr, Richland, GA 31825-1322 2007-03-05
1114056934 Four County Health Care, LLC Clinic/Center 99 Overby Dr, Richland, GA 31825-1322 2007-03-05
1295867752 Integrity Rehabilitation, Inc Physical Therapist 297 Alston St, Richland, GA 31825-1403 2007-03-11
1144354150 Lee Christopher Boyd Physical Therapy Assistant 297 Alston St, Richland, GA 31825-1403 2007-03-15
1336138841 Jacqueline J Burkes Physician Assistant 220 Alston St, Richland, GA 31825-1404 2005-10-18
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982748091 Richland Care Center, Inc. Skilled Nursing Facility 400 Tri-county Lane, Richland, MO 65556-0756 2007-02-20
1578518593 Richland Medical Investors, LLC Skilled Nursing Facility 44 Goethals Dr, Richland, WA 99352-4619 2006-05-25
1265421978 Eagle Healthcare, Inc Skilled Nursing Facility 1745 Pike Ave, Richland, WA 99354-2295 2005-10-14
1477801322 Care Center (richland) Inc. Skilled Nursing Facility 1745 Pike Ave, Richland, WA 99354-2295 2012-08-27

Providers in the same taxonomy and state

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
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Competitor

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City RICHLAND
Zip Code 31825

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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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