PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC


Address: 11740 Columbia St, Blakely, GA 39823-2574
Phone: 2297233795

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 049-667 GA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA LICENSE 049-667 01
GA 00140873A 05

Other Provider/Organization Names

Other Name Type Code
Early Memorial Nursing Home Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 11740 COLUMBIA ST
City BLAKELY
State GA
Zip Code 39823-2574

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City BLAKELY
Zip Code 39823

Improve Information

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Dataset Information

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.

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