Roberta Health Care Center

LBN: Brentwood Nursing Llc
Roberta Health Care Center is an health care organization with primary practice located at 280 Myrtle Drive , Roberta GA 31078. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Brentwood Nursing Llc can be contacted via phone (478) 836-3101, or through Brogdon, Tygh via phone (770) 650-8773.

Contact Information

Primary practice address
280 Myrtle Drive Roberta GA 31078
Phone: (478) 836-3101
Fax: (478) 836-2700
Website:
Map and Directions
Authorized official contact:
Name: Brogdon, Tygh
Phone: (770) 650-8773

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-039-1747 Georgia

Profile Details

NPI number 1083776520
LBN Legal business name Brentwood Nursing Llc
DBA Doing business as Roberta Health Care Center
Authorized official Brogdon, Tygh
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Sep 29th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083776520 NPPES
Georgia MEDICAID 00142777A

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