Emerald Isles Pch, Inc
LBN: Emerald Isles Pch, Inc
Emerald Isles Pch, Inc is an health care organization with primary practice located at 1402 Shadowbrook Dr , Marietta GA 30062-4032. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Emerald Isles Pch, Inc can be contacted via phone (770) 509-0533, or through Lawton, Marian via phone (770) 509-0533.
Contact Information
Primary practice address
1402 Shadowbrook Dr
Marietta GA 30062-4032
Phone: (770) 509-0533
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | ||
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances | 3104A0630X |
Profile Details
NPI number | 1821260217 |
---|---|
LBN Legal business name | Emerald Isles Pch, Inc |
DBA Doing business as | |
Authorized official | Lawton, Marian |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 26th, 2008 |
Last updated | Mar 26th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821260217 | NPPES |
Georgia | MEDICAID | 088 | |
Georgia | MEDICAID | 244 |
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