PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC (NPI# 1386952141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386952141 |
Entity Type | Organization |
Organization Name | PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC |
Other Organization Name | EARLY MEMORIAL NURSING HOME |
Practice Address |
11740 Columbia St Blakely GA 39823-2574 |
Practice Telephone | 2297233795 |
Practice Fax Number | 2297238024 |
Mailing Telephone | 2297233795 |
Mailing Fax Number | 2297238024 |
Enumeration Date | 2010-09-15 |
Last Update Date | 2015-09-23 |
Authorized Official Name | MR. JOSEPH S MCNULTY III (CEO) |
Authorized Official Telephone | 6018496440 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 049-667 | GA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | LICENSE | 049-667 | 01 |
GA | 00140873A | 05 |
Other Name | Type Code |
---|---|
Early Memorial Nursing Home | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154669554 | Pioneer Health Services of Early County, LLC | Clinic/Center | 104 Maxwell St Se, Arlington, GA 39813-8714 | 2013-01-21 |
1316323785 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11168 Columbia St, Suite B, Blakely, GA 39823-3474 | 2015-08-07 |
1548534910 | Pioneer Health Services of Early County, LLC | Psychiatric Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2012-03-02 |
1205110814 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11168 Columbia St, Blakely, GA 39823-3474 | 2011-09-30 |
1588974521 | Pioneer Health Services of Early County, LLC | Ambulance | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-10-08 |
1144535212 | Pioneer Health Services of Early County, LLC | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
1699080762 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
1104131267 | Pioneer Health Services of Early County, LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
1720393895 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11045 Columbia St, Suite B, Blakely, GA 39823-3447 | 2010-08-13 |
Street Address |
11740 COLUMBIA ST |
City | BLAKELY |
State | GA |
Zip Code | 39823-2574 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083695498 | Valerie Rebecca Jones | Pharmacist | 11740 Columbia St, Blakely, GA 39823-2574 | 2005-11-11 |
1346893765 | Lifebrite Hospital Group, LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2019-07-24 |
1467967836 | Stacey R Gale | Pharmacist | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-12-07 |
1346773363 | Lifebrite Hospital Group of Early LLC | Skilled Nursing Facility | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
1194258129 | Lifebrite Hospital Group of Early LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
1922531953 | Lifebrite Hospital Group of Early LLC | Pharmacy | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
1205368792 | Lifebrite Hospital Group of Early LLC | Psychiatric Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-03 |
1104358811 | Lifebrite Hospital Group of Early LLC | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-03-31 |
1598297590 | Lifebrite Hospital Group of Early LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-03-29 |
1548534910 | Pioneer Health Services of Early County, LLC | Psychiatric Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2012-03-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679922546 | Donna Lashawn Mells-mccoy | Social Worker | 89 Balcom Ave, Blakely, GA 39823 | 2016-06-10 |
1063562221 | Self Discovery Counseling and Consulting Inc | Counselor | 116 South Main St., Blakely, GA 39823 | 2007-01-11 |
1619046786 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 313 E Tu Nake Place, Blakely, GA 39823 | 2006-11-06 |
1780607754 | Primary Care of Southwest Georgia, Inc. | Nurse Practitioner | 360 College Street, Blakely, GA 39823 | 2006-07-25 |
1588014807 | Dave Stewart | Family Medicine | 360 College St, Blakely, GA 39823 | 2016-06-17 |
1497805063 | Miller County Hospital and Miller Nursing Home | Clinic/Center | 11045 Columbia St, Blakely, GA 39823 | 2007-01-12 |
1437345006 | Ralph Boyd Phillips Jr. | Chiropractor | 12221 Columbia Road, Blakely, GA 39823-0231 | 2007-09-18 |
1649753773 | Kelly Diane Mccarley | Nurse Practitioner | 1908 Tarver Dr, Blakely, GA 39823-1540 | 2018-09-14 |
1437585635 | Marrian Alexander | Nurse Practitioner | 1924 Tarver Dr, Blakely, GA 39823-1540 | 2013-09-19 |
1508403049 | Rachel Lewis | Specialist/Technologist | 326 Tom Sawyer Dr, Blakely, GA 39823-1559 | 2019-12-03 |
Find all providers in zip 39823 |
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 |
---|---|---|---|---|
1346773363 | Lifebrite Hospital Group of Early LLC | Skilled Nursing Facility | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
1174555734 | Early Memorial Hospital | Skilled Nursing Facility | 11740 Columbia St, Blakely, GA 39823-2574 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689281982 | Georgia Regional Health Services LLC | Skilled Nursing Facility | 3731 Lake Pass Ln, Suwanee, GA 30024-8422 | 2020-09-30 |
1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
1205486859 | Magnolia Manor of Liberty County, Inc. | Skilled Nursing Facility | 625 N Coastal Hwy # 17, Midway, GA 31320-3433 | 2019-09-16 |
1497301170 | Prestige Health Services LLC | Skilled Nursing Facility | 1770 Indian Trail Lilburn Rd Ste 420, Norcross, GA 30093-2644 | 2019-08-17 |
1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
1689131724 | Favor Home Health Care Services, LLC | Skilled Nursing Facility | 51 Gallery Ct, Acworth, GA 30101-2709 | 2019-02-25 |
1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
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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.