Southern Pines

LBN: Elberta Healthcare, Llc
Southern Pines is an health care organization with primary practice located at 801 Elberta Rd , Warner Robins GA 31093-1735. 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. Elberta Healthcare, Llc can be contacted via phone (478) 923-3146, or through Meade, Deborah L. via phone (478) 328-3800.

Contact Information

Primary practice address
801 Elberta Rd Warner Robins GA 31093-1735
Fax: (478) 922-9145
Website:
Authorized official contact:
Name: Meade, Deborah L.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-076-1674 Georgia

Profile Details

NPI number 1326037516
LBN Legal business name Elberta Healthcare, Llc
DBA Doing business as Southern Pines
Authorized official Meade, Deborah L.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Jan 13th, 2021 - about 3 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 1326037516 NPPES
Georgia MEDICAID 00140918A

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