Fort Valley Health Care

LBN: Brentwood Nursing Llc
Fort Valley Health Care is an health care organization with primary practice located at 604 Bluebird Blvd , Fort Valley GA 31030-5081. 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) 825-2031, or through Brogdon, Tygh via phone (770) 650-8773.

Contact Information

Primary practice address
604 Bluebird Blvd Fort Valley GA 31030-5081
Phone: (478) 825-2031
Fax: (478) 825-2041
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 1-111-1746 Georgia

Profile Details

NPI number 1376604082
LBN Legal business name Brentwood Nursing Llc
DBA Doing business as Fort Valley Health Care
Authorized official Brogdon, Tygh
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 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 1376604082 NPPES
Georgia MEDICAID 00141028A

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