Pine Leaf Personal Care Home

LBN: Pine Leaf Personal Care Home
Pine Leaf Personal Care Home is an health care organization with primary practice located at 121 S Elm St , East Dublin GA 31027-7778. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care. Agencies / Nursing Care is the primary health care specialty. Pine Leaf Personal Care Home can be contacted via phone (478) 575-0083, or through Mills, Shomankia Pinkston via phone (478) 575-0083.

Contact Information

Primary practice address
121 S Elm St East Dublin GA 31027-7778
Phone: (478) 575-0083
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mills, Shomankia Pinkston
Phone: (478) 575-0083

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X

Profile Details

NPI number 1235697483
LBN Legal business name Pine Leaf Personal Care Home
DBA Doing business as
Authorized official Mills, Shomankia Pinkston
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2019
Last updated Mar 6th, 2019 - about 6 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 1235697483 NPPES
Georgia MEDICAID 3155885

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