The Lodge

LBN: Summers Retirement, Llc
The Lodge is an health care organization with primary practice located at 200 S Kimberly Rd , Warner Robins GA 31088-8721. 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. Summers Retirement, Llc can be contacted via phone (478) 293-4900, or through Meade, Deborah L via phone (478) 328-3800.

Contact Information

Primary practice address
200 S Kimberly Rd Warner Robins GA 31088-8721
Phone: (478) 293-4900
Fax: (478) 293-4892
Website:
Map and Directions
Authorized official contact:
Name: Meade, Deborah L
Phone: (478) 328-3800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-076-2068 Georgia

Profile Details

NPI number 1629458963
LBN Legal business name Summers Retirement, Llc
DBA Doing business as The Lodge
Authorized official Meade, Deborah L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2015
Last updated Jul 24th, 2015 - about 9 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 1629458963 NPPES
Georgia MEDICAID 000142381A

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