Pinewood Manor

LBN: Progressive Long Term Care, Llc
Pinewood Manor is an health care organization with primary practice located at 704 Commerce St , Hawkinsville GA 31036-1004. 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. Progressive Long Term Care, Llc can be contacted via phone (478) 892-9171, or through Crump, Ronny G via phone (478) 892-9171.

Contact Information

Primary practice address
704 Commerce St Hawkinsville GA 31036-1004
Phone: (478) 892-9171
Fax: (478) 783-2101
Website:
Map and Directions
Authorized official contact:
Name: Crump, Ronny G
Phone: (478) 892-9171

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1116927 Georgia

Profile Details

NPI number 1114916426
LBN Legal business name Progressive Long Term Care, Llc
DBA Doing business as Pinewood Manor
Authorized official Crump, Ronny G
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Jan 3rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114916426 NPPES
Georgia MEDICAID 00142513A

Popular Providers