MIDDLE GEORGIA LIFE CARE INC. (NPI# 1306060439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306060439 |
| Entity Type | Organization |
| Organization Name | MIDDLE GEORGIA LIFE CARE INC. |
| Other Organization Name | PRESBYTERIAN VILLAGE |
| Practice Address |
400 Foster Road Macon GA 31210 |
| Mailing Address |
409 E Doyle Street Toccoa GA 30577 |
| Practice Telephone | 4784740025 |
| Practice Fax Number | 4784740392 |
| Mailing Telephone | 7068868493 |
| Mailing Fax Number | 7068860542 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NEIL L PRUITT JR. (MANAGER) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Presbyterian Village | Doing Business As Name - Organization |
| Street Address |
400 FOSTER ROAD |
| City | MACON |
| State | GA |
| Zip Code | 31210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013321884 | Pruitthealth - Eastside, LLC | Skilled Nursing Facility | 2795 Finney Cir, Macon, GA 31217-4512 | 2014-06-19 |
| 1982963682 | Zebulon Park Health and Rehabilitation LLC | Skilled Nursing Facility | 343 Plantation Way, Macon, GA 31210 | 2012-05-15 |
| 1740341312 | Porter Field Health & Rehab Center LLC | Skilled Nursing Facility | 3051 Whiteside Rd, Macon, GA 31216-6209 | 2006-12-13 |
| 1649340167 | Goodwill Nursing Home, Inc | Skilled Nursing Facility | 4373 Houston Ave, Macon, GA 31206-2760 | 2006-11-09 |
| 1962437517 | Medical Management of Macon, Inc. | Skilled Nursing Facility | 29612 Kellogg Ave, Macon, MO 63552-3702 | 2006-07-12 |
| 1992741995 | Monroe County Nursing Home LLC | Skilled Nursing Facility | 529 Bolingreen Dr, Macon, GA 31210-5303 | 2006-06-20 |
| 1487699831 | Bibb County Health Care LLC | Skilled Nursing Facility | 3468 Napier Ave, Macon, GA 31204-3743 | 2006-06-19 |
| 1740227164 | Cherry Blossom Health Care Center LLC | Skilled Nursing Facility | 3520 Kenneth Dr, Macon, GA 31206-3824 | 2006-06-02 |
| 1093762510 | Pruitthealth - Peake, LLC | Skilled Nursing Facility | 6190 Peake Rd, Macon, GA 31220-3956 | 2006-05-29 |
| 1710934237 | Pruitthealth - Macon, LLC | Skilled Nursing Facility | 2255 Anthony Rd, Macon, GA 31204-5823 | 2006-05-29 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.