Shoreham At Marietta

LBN: Hcc Healthcare Of Marietta, Llc
Shoreham At Marietta is an health care organization with primary practice located at 811 Kennesaw Avenue , Marietta GA 30060. 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. Hcc Healthcare Of Marietta, Llc can be contacted via phone (770) 422-2451, or through Anstis, Louann via phone (770) 619-0866.

Contact Information

Primary practice address
811 Kennesaw Avenue Marietta GA 30060
Fax: (770) 499-2235
Website:
Authorized official contact:
Name: Anstis, Louann

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 00048991 Georgia

Profile Details

NPI number 1295768497
LBN Legal business name Hcc Healthcare Of Marietta, Llc
DBA Doing business as Shoreham At Marietta
Authorized official Anstis, Louann
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1295768497 NPPES
Georgia MEDICAID 00142986A

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