Presbyterian Village

LBN: Presbyterian Village, Austell, Inc.
Presbyterian Village is an health care organization with primary practice located at 2000 E West Connector , Austell GA 30106-1194. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Presbyterian Village, Austell, Inc. can be contacted via phone (770) 819-7000, or through Arrendale, Dianne via phone (229) 263-6193.

Contact Information

Primary practice address
2000 E West Connector Austell GA 30106-1194
Phone: (770) 819-7000
Fax: (770) 819-7497
Website:
Map and Directions
Authorized official contact:
Name: Arrendale, Dianne CPA
Phone: (229) 263-6193

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1770573412
LBN Legal business name Presbyterian Village, Austell, Inc.
DBA Doing business as Presbyterian Village
Authorized official Arrendale, Dianne CPA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2005
Last updated Aug 8th, 2023 - about last year

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 1770573412 NPPES
Georgia MEDICAID 00362832A

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