Montezuma Health Care Center Llc, NPI 1053340257
Skilled Nursing Facility in Montezuma, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1053340257
NPI Entity Type Organization
Provider Name Montezuma Health Care Center Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 506 Sumter St, Montezuma, GA, US
Provider Mailing Address Po Box 639, Montezuma, GA, US, 310630639
Is Sole Proprietor? No
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Organization Official

Official Name Victor Paez
Official Position ADMINISTRATOR
Phone 478-472-8168

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. 1-094-1731
License State GA
Description (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Other Organization Name

Montezuma Health and Rehabilitation
Doing Business As

Business Address

Montezuma Health Care Center Llc
506 Sumter St

Montezuma, GA, US

Phone: 478-472-8168
Fax: 478-472-2373

Mailing Address

Montezuma Health Care Center Llc
Po Box 639
Montezuma, GA, US
ZIP 310630639
Phone: 478-472-8168
Fax: 478-472-2373

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
51046295 002 BCBS 01
000142062A GA MEDICAID 05

Other Providers in GA, US

NPI Name Taxonomy Address

1386307460

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