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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 1-128-1712 | GA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 51001238 001 | 01 | |
GA | 00405292A | 05 |
Other Name | Type Code |
---|---|
Four County Health and Rehabilitation | Doing Business As Name - Organization |
Street Address |
124 OVERBY DR |
City | RICHLAND |
State | GA |
Zip Code | 31825-1300 |
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 |
Find all providers in zip 31825 |
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 |
---|---|---|---|---|
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 |
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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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.