GLASCOCK COUNTY HEALTH CARE LLC (NPI# 1972597847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972597847 |
| Entity Type | Organization |
| Organization Name | GLASCOCK COUNTY HEALTH CARE LLC |
| Other Organization Name | GIBSON HEALTH AND REHABILITATION |
| Practice Address |
434 Beall Springs Rd Gibson GA 30810-4224 |
| Mailing Address |
434 Beall Springs Road Gibson GA 30810 |
| Practice Telephone | 7065983201 |
| Practice Fax Number | 7065983802 |
| Mailing Telephone | 7065985301 |
| Mailing Fax Number | 7065983802 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2013-02-06 |
| Authorized Official Name | PATRELLE MAJOR (ADMINISTRATOR) |
| Authorized Official Telephone | 7065983201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-062-1049 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000141116A | 05 |
| Other Name | Type Code |
|---|---|
| Gibson Health and Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648010 | Glascock County Health Care LLC | Assisted Living Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-09 |
| Street Address |
434 BEALL SPRINGS RD |
| City | GIBSON |
| State | GA |
| Zip Code | 30810-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648010 | Glascock County Health Care LLC | Assisted Living Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255416756 | Nona Joe Lord | Registered Nurse | 658 West Main St., Gibson, GA 30810 | 2006-10-25 |
| 1083665285 | Glascock County Board of Health | Public Health or Welfare | 658 W Main St, Gibson, GA 30810-4013 | 2006-05-12 |
| 1700250107 | Cornelia Benoit | Nurse Practitioner | 702 W Main St, Gibson, GA 30810-4014 | 2015-11-23 |
| 1245400969 | Community Health Care Systems, Inc. | Clinic/Center | 702 West Main St, Gibson, GA 30810-4135 | 2008-03-10 |
| 1508145822 | Debbie B Williford | Massage Therapist | 43 East Main Street, Gibson, GA 30810-4200 | 2011-08-04 |
| 1770646960 | Glascock County Boe | Local Education Agency (LEA) | 1230 Panther Way, Gibson, GA 30810-4238 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205101177 | Dana Durst Pittman | Speech-Language Pathologist | 4667 Bayou Black Dr, Gibson, LA 70356-3312 | 2012-03-12 |
| 1245400969 | Community Health Care Systems, Inc. | Clinic/Center | 702 West Main St, Gibson, GA 30810-4135 | 2008-03-10 |
| 1285763805 | Family Alternatives, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13880 Francis St, Gibson, NC 28343-8360 | 2007-03-02 |
| 1770646960 | Glascock County Boe | Local Education Agency (LEA) | 1230 Panther Way, Gibson, GA 30810-4238 | 2006-12-18 |
| 1255416756 | Nona Joe Lord | Registered Nurse | 658 West Main St., Gibson, GA 30810 | 2006-10-25 |
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| 1083665285 | Glascock County Board of Health | Public Health or Welfare | 658 W Main St, Gibson, GA 30810-4013 | 2006-05-12 |
| 1700250107 | Cornelia Benoit | Nurse Practitioner | 702 W Main St, Gibson, GA 30810-4014 | 2015-11-23 |
| 1609175595 | Rha Health Services Nc, LLC | Community/Behavioral Health | 13880 Francis St, Gibson, NC 28343-8360 | 2011-03-18 |
| 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. |
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|---|---|---|---|---|
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| 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.