Bulloch County Health Care Llc

LBN: Bulloch County Health Care Llc
Bulloch County Health Care Llc is an health care organization with primary practice located at 307 Jones Mill Rd , Statesboro GA 30458-4765. 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. Bulloch County Health Care Llc can be contacted via phone (912) 764-9011, or through Scott Herron, Latasha via phone (912) 764-9011.

Contact Information

Primary practice address
307 Jones Mill Rd Statesboro GA 30458-4765
Fax: (912) 764-8218
Website:
Authorized official contact:
Name: Scott Herron, Latasha

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-016-1767 Georgia

Profile Details

NPI number 1558355370
LBN Legal business name Bulloch County Health Care Llc
DBA Doing business as
Authorized official Scott Herron, Latasha
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Sep 28th, 2023 - about last year

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 1558355370 NPPES
Georgia MEDICAID 000142161A

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