Icfmr At Georgia Regional Hospital Atlanta

LBN: Icfmr At Georgia Regional Hospital Atlanta
Icfmr At Georgia Regional Hospital Atlanta is an health care organization with primary practice located at 3073 Panthersville Road , Decatur GA 30034-3828. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Icfmr At Georgia Regional Hospital Atlanta can be contacted via phone (404) 243-2158, or through Slate, Sonny via phone (404) 243-2121.

Contact Information

Primary practice address
3073 Panthersville Road Decatur GA 30034-3828
Phone: (404) 243-2158
Fax: (404) 243-2159
Website:
Map and Directions
Authorized official contact:
Name: Slate, Sonny COO
Phone: (404) 243-2121

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2044856 Georgia

Profile Details

NPI number 1841328135
LBN Legal business name Icfmr At Georgia Regional Hospital Atlanta
DBA Doing business as
Authorized official Slate, Sonny COO
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 18th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841328135 NPPES
Georgia MEDICAID 00141061A

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