SC-GA2018 COBBLESTONE REHABILITATION AND HEALTHCARE CENTER, LLC (NPI# 1427526128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427526128 |
Entity Type | Organization |
Organization Name | SC-GA2018 COBBLESTONE REHABILITATION AND HEALTHCARE CENTER, LLC |
Other Organization Name | COBBLESTONE REHABILITATION AND HEALTHCARE CENTER |
Practice Address |
101 Cobblestone Trce Se Moultrie GA 31788-7747 |
Mailing Address |
103b Regency Commons Dr Greer SC 29650-5210 |
Practice Telephone | 2299853637 |
Mailing Telephone | 8646883992 |
Enumeration Date | 2018-11-12 |
Last Update Date | 2020-11-03 |
Authorized Official Name | BRETT BARNETT (PRESIDENT) |
Authorized Official Telephone | 8504300000 |
Is Organization Subpart | Y |
Parent Organization Name | GULF COAST FACILITIES, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Cobblestone Rehabilitation and Healthcare Center | Doing Business As Name - Organization |
Street Address |
101 COBBLESTONE TRCE SE |
City | MOULTRIE |
State | GA |
Zip Code | 31788-7747 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932125531 | Woodlands Living Center, LLC | Skilled Nursing Facility | 101 Cobblestone Trce Se, Moultrie, GA 31788-7747 | 2006-07-15 |
1003475112 | Halcyon Rehabilitation, LLC | Clinic/Center | 101 Cobblestone Trce Se, Moultrie, GA 31788-7747 | 2019-06-12 |
1871805010 | Cobblestone Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 101 Cobblestone Trce Se, Moultrie, GA 31788-7747 | 2010-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295283620 | Convenient Rx LLC | Pharmacy | 640 Veterans Pkwy N, Moultrie, GA 31788 | 2016-09-14 |
1861745994 | Sherry Marie Mccoy | Clinical Nurse Specialist | 3015 Veterans Parkaway, Moultrie, GA 31788 | 2012-10-26 |
1083874895 | Opal Jean M Norman | Speech-Language Pathologist | 4969 Old Adel Rd, Moultrie, GA 31788-1276 | 2008-06-16 |
1558440800 | Colquitt County Board of Education | Local Education Agency (LEA) | 348 Industrial Dr, Moultrie, GA 31788-1842 | 2006-11-06 |
1295378982 | Jamshaid Mukhtar Cheema | Physician Assistant | Turning Point Care Center, 3015 Veterans Pkway S, Moultrie, GA 31788-2397 | 2019-10-24 |
1508313164 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 378 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2016-09-01 |
1518347418 | Careconnect Health, Inc. | Clinic/Center | 358 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2015-06-05 |
1528674439 | Lindsay Mobley | Pharmacist | 378 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2020-09-17 |
1346727955 | Courtney Foy Edwards | Pharmacist | 378 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2018-07-26 |
1538689757 | Lauren Milligan | Social Worker | 358 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2017-06-20 |
Find all providers in zip 31788 |
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 |
---|---|---|---|---|
1235339714 | Dale L. Mcgregor, D.o., P.C. | Skilled Nursing Facility | 102 Cobblestone Trce Se, Moultrie, GA 31788-7748 | 2007-07-23 |
1932125531 | Woodlands Living Center, LLC | Skilled Nursing Facility | 101 Cobblestone Trce Se, Moultrie, GA 31788-7747 | 2006-07-15 |
1629025150 | Pruitthealth - Sunrise, LLC | Skilled Nursing Facility | 2709 South Main Street, Moultrie, GA 31768-6906 | 2006-05-29 |
1982651402 | Pruitthealth - Magnolia Manor, LLC | Skilled Nursing Facility | 3003 Veterans Parkway South, Moultrie, GA 31788-6705 | 2006-05-29 |
1598747073 | Pruitthealth - Moultrie, LLC | Skilled Nursing Facility | 233 Sunset Circle, Moultrie, GA 31768-6926 | 2005-11-18 |
1871805010 | Cobblestone Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 101 Cobblestone Trce Se, Moultrie, GA 31788-7747 | 2010-07-03 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SC-GA2018 COBBLESTONE REHABILITATION AND HEALTHCARE CENTER, LLC.
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.