Hartley Woods Health & Rehab

LBN: Porter Field Health & Rehab Center Llc
Hartley Woods Health & Rehab is an health care organization with primary practice located at 3051 Whiteside Rd , Macon GA 31216-6209. 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. Porter Field Health & Rehab Center Llc can be contacted via phone (478) 788-1421, or through Brogdon, Tygh via phone (770) 650-8773.

Contact Information

Primary practice address
3051 Whiteside Rd Macon GA 31216-6209
Fax: (478) 781-0987
Website:
Authorized official contact:
Name: Brogdon, Tygh

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10111615 Georgia
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10111916 Georgia

Profile Details

NPI number 1740341312
LBN Legal business name Porter Field Health & Rehab Center Llc
DBA Doing business as Hartley Woods Health & Rehab
Authorized official Brogdon, Tygh
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Mar 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740341312 NPPES
Georgia MEDICAID 00222582A

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