Kentwood Nursing Home

LBN: University Extended Care, Inc
Kentwood Nursing Home is an health care organization with primary practice located at 1227 W Wheeler Pkwy , Augusta GA 30909-1899. 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. University Extended Care, Inc can be contacted via phone (706) 863-1188, or through Powell, Nancy G. via phone (706) 863-1188.

Contact Information

Primary practice address
1227 W Wheeler Pkwy Augusta GA 30909-1899
Phone: (706) 863-1188
Fax: (706) 863-2449
Website:
Map and Directions
Authorized official contact:
Name: Powell, Nancy G.
Phone: (706) 863-1188

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2006004129 Georgia

Profile Details

NPI number 1508822305
LBN Legal business name University Extended Care, Inc
DBA Doing business as Kentwood Nursing Home
Authorized official Powell, Nancy G.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Dec 23rd, 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 1508822305 NPPES
Georgia MEDICAID 00143426A

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