Canton Nursing Center

LBN: Canton Convalescent Center Inc
Canton Nursing Center is an health care organization with primary practice located at 321 Hospital Rd , Canton GA 30114-2411. 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. Canton Convalescent Center Inc can be contacted via phone (770) 479-8791, or through Shaw, Scott F. via phone (770) 479-8791.

Contact Information

Primary practice address
321 Hospital Rd Canton GA 30114-2411
Phone: (770) 479-8791
Fax: (770) 479-5681
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Scott F.
Phone: (770) 479-8791

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-028-1183 Georgia

Profile Details

NPI number 1518957968
LBN Legal business name Canton Convalescent Center Inc
DBA Doing business as Canton Nursing Center
Authorized official Shaw, Scott F.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Nov 29th, 2011 - about 13 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 1518957968 NPPES
Georgia MEDICAID 00140511A

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