LAKE CROSSING HEALTH CENTER, LLC (NPI# 1891305223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891305223 |
Entity Type | Organization |
Organization Name | LAKE CROSSING HEALTH CENTER, LLC |
Other Organization Name | LAKE CROSSING HEALTH CENTER |
Practice Address |
6698 Washington Rd Appling GA 30802-4120 |
Practice Telephone | 7065410462 |
Practice Fax Number | 7065410310 |
Mailing Telephone | 7065410462 |
Mailing Fax Number | 7065410310 |
Enumeration Date | 2020-07-31 |
Last Update Date | 2020-07-31 |
Authorized Official Name | AMY ROBERTS STEWART (OWNER) |
Authorized Official Telephone | 7065410462 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Lake Crossing Health Center | Doing Business As Name - Organization |
Street Address |
6698 WASHINGTON RD |
City | APPLING |
State | GA |
Zip Code | 30802-4120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609848183 | Sunrise Medical Services,inc | Skilled Nursing Facility | 6698 Washington Rd, Appling, GA 30802-4120 | 2006-02-07 |
1316243926 | Richmond County Hospital Authority | Skilled Nursing Facility | 6698 Washington Rd, Appling, GA 30802-4120 | 2011-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659541480 | Donna Lawson Lamb | Occupational Therapist | 2901 Old Thomson Rd, Appling, GA 30802-1908 | 2008-03-07 |
1538585245 | Diversity Health Care Service | Home Health | 7208 Terrace Dr, Appling, GA 30802-2516 | 2014-03-06 |
1427674944 | Angela Adelle Halmstad | Nurse Practitioner | 7606 Winfield Rd, Appling, GA 30802-2619 | 2020-06-20 |
1891166450 | Anna Beth Brooks | Nurse Practitioner | 3290 Rosemont Rd, Appling, GA 30802-3312 | 2015-10-08 |
1477875102 | Ashley Muenckler Price | Case Manager/Care Coordinator | 410 Judson Xing, Appling, GA 30802-3632 | 2010-02-22 |
1508227141 | Compassion Community PCh LLC | Military Health Care Provider | 1942 Appling Harlem Rd, Appling, GA 30802-3723 | 2016-03-09 |
1609966571 | Jonell K Dalis | Registered Nurse | 6420 Pollards Pond Rd, Appling, GA 30802-3726 | 2006-10-13 |
1285787580 | Debrayda Giovanni Bryant | Licensed Practical Nurse | 6420 Pollards Pond Rd, Appling, GA 30802-3726 | 2007-01-19 |
1760568927 | Victioria D. Manning | Registered Nurse | 6420 Pollards Pond Rd, Appling, GA 30802-3726 | 2006-10-31 |
1720169535 | Alice J Richards | Registered Nurse | 6420 Pollards Pond Rd, Appling, GA 30802-3726 | 2006-10-18 |
Find all providers in zip 30802 |
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 |
---|---|---|---|---|
1609848183 | Sunrise Medical Services,inc | Skilled Nursing Facility | 6698 Washington Rd, Appling, GA 30802-4120 | 2006-02-07 |
1316243926 | Richmond County Hospital Authority | Skilled Nursing Facility | 6698 Washington Rd, Appling, GA 30802-4120 | 2011-01-28 |
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 |
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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.