Pinewood Manor Nursing Home

LBN: Progressive Long Term Care
Pinewood Manor Nursing Home is an health care organization with primary practice located at 704 Commerce St , Hawkinsville GA 31036-1004. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty. Progressive Long Term Care can be contacted via phone (478) 783-4988, or through Crump, Ronald G via phone (478) 783-1623.

Contact Information

Primary practice address
704 Commerce St Hawkinsville GA 31036-1004
Phone: (478) 783-4988
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crump, Ronald G
Phone: (478) 783-1623

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1942406749
LBN Legal business name Progressive Long Term Care
DBA Doing business as Pinewood Manor Nursing Home
Authorized official Crump, Ronald G
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Apr 10th, 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 1942406749 NPPES
Georgia MEDICAID 000142513B

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