| NPI | 1255337341 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-06-23 |
| Last Updated | 2014-03-21 |
| Authorized Official | Alex Paley COO Phone: 9143904363 |
| Mailing Address | 156 Pine Knoll Dr Carrollton, GA 30117-2451 United States Phone: (770) 832-8243 | Fax: (770) 832-8221 📍 View Map |
| Primary Practice Address | 156 Pine Knoll Dr Carrollton, GA 30117-2451 United States Phone: (770) 832-8243 | Fax: (770) 832-8221 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 00142458A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 314000000X – Skilled Nursing Facility | GA | 10221757 |
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About NPI 1255337341
Chc-Pine Knoll Nursing & Rehab Ctr, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1255337341. The primary specialty listed is Skilled Nursing Facility. The organization is located in Carrollton, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255337341?
NPI 1255337341 belongs to Chc-Pine Knoll Nursing & Rehab Ctr, Llc, a Skilled Nursing Facility in Carrollton, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255337341 active?
The current status of NPI 1255337341 in the NPPES registry is Active. The record was last updated on 2014-03-21.
What specialty is NPI 1255337341?
NPI 1255337341 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255337341?
You can verify NPI 1255337341 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255337341?
The primary practice address on file for NPI 1255337341 is 156 Pine Knoll Dr, Carrollton, GA 30117-2451. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255337341 issued?
NPI 1255337341 was first issued (enumerated) on 2005-06-23. The NPPES record was last updated on 2014-03-21.
Practice Location Map
Chc-Pine Knoll Nursing & Rehab Ctr, Llc is located at 156 Pine Knoll Dr, Carrollton, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Chc-Pine Knoll Nursing & Rehab Ctr, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1255337341. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Skilled Nursing Facility | 10221757 | GA |