CANDLER HOSPITAL INCORPORATED (NPI# 1912992389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912992389 |
| Entity Type | Organization |
| Organization Name | CANDLER HOSPITAL INCORPORATED |
| Other Organization Name | CANDLER HOSPITAL SUBACUTE UNIT |
| Practice Address |
5353 Reynolds St Savannah GA 31405-6015 |
| Practice Telephone | 9128195290 |
| Practice Fax Number | 9128195295 |
| Mailing Telephone | 9128195290 |
| Mailing Fax Number | 9128195295 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | MELISSA D ALVAREZ (REGISTERED AGENT) |
| Authorized Official Telephone | 9128195294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-025-1469 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 008770911A | 05 |
| Other Name | Type Code |
|---|---|
| CANDLER HOSPITAL SUBACUTE UNIT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306207840 | Candler Hospital Incorporated | Pharmacy | 300 New River Pkwy, Suite 26, Hardeeville, SC 29927-4450 | 2016-03-11 |
| 1275527889 | Candler Hospital Incorporated | General Acute Care Hospital | 5353 Reynolds St, Savannah, GA 31405-6015 | 2005-09-09 |
| Street Address |
5353 REYNOLDS ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657151 | Carolyn Kleeman Williams | Pharmacist | 5353 Reynolds St, Savannah, GA 31405-6015 | 2005-05-24 |
| 1851998017 | Elyssa Whitley | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-10-01 |
| 1851905020 | Sherry Yvette Smith | Nurse Practitioner | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-09-03 |
| 1558970657 | Julia Ann Gainey | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-07-24 |
| 1457973232 | Morgan E Fink | Dietitian, Registered | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-05-14 |
| 1750917563 | Catherine Morrison | Registered Nurse | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-03-13 |
| 1568006534 | Courtney Brue | Registered Nurse | 5353 Reynolds St, Savannah, GA 31405-6015 | 2019-11-03 |
| 1013561281 | Megan Boyd | Family Medicine | 5353 Reynolds St, Savannah, GA 31405-6015 | 2019-07-26 |
| 1760958979 | Virginia Claiborne Stuber | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2018-10-16 |
| 1437633328 | Zachary Emanuel Madramootoo | Nurse Practitioner | 5353 Reynolds St, Savannah, GA 31405-6015 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
|---|---|---|---|---|
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1942362249 | Phlv, LLC | Skilled Nursing Facility | 904 Hall Ave, Savannah, MO 64485-0279 | 2006-12-14 |
| 1275626855 | Laverna Village Nursing Home Inc. | Skilled Nursing Facility | 904 Hall Avenue, Savannah, MO 64485-0279 | 2006-10-02 |
| 1235186750 | Pruitthealth-savannah, LLC | Skilled Nursing Facility | 12825 White Bluff Road, Savannah, GA 31419-2993 | 2006-05-29 |
| 1437145620 | The Progressive Health Care Group, Inc. | Skilled Nursing Facility | 13277 State Route D, Savannah, MO 64485-9431 | 2005-09-22 |
| 1417943028 | Five Star Savannah Square LLC | Skilled Nursing Facility | 1 Savannah Square Dr, Savannah, GA 31406-6755 | 2005-09-20 |
| 1437144854 | Azalealand Management Inc | Skilled Nursing Facility | 2040 Colonial Dr, Savannah, GA 31406-2226 | 2005-09-12 |
| 1477554954 | Riverview Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 6711 Laroche Ave., Savannah, GA 31406 | 2005-08-09 |
| 1861944019 | Landmark Hospital of Savannah LLC | Skilled Nursing Facility | 800 E 68th St, Savannah, GA 31405-4710 | 2016-11-03 |
| 1295149003 | Lp Savannah, LLC | Skilled Nursing Facility | 815 E 63rd St, Savannah, GA 31405-4420 | 2014-06-19 |
| Find all providers in SAVANNAH | ||||
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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.