BRENTWOOD TERRACE HEALTH CENTER, LLC (NPI# 1477595403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477595403 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD TERRACE HEALTH CENTER, LLC |
| Other Organization Name | BRENTWOOD HEALTH AND REHABILITATION |
| Practice Address |
115 Brentwood Dr Waynesboro GA 30830-4519 |
| Mailing Address |
Po Box 907 Waynesboro GA 30830-0907 |
| Practice Telephone | 7065544425 |
| Practice Fax Number | 7065546163 |
| Mailing Telephone | 7065544425 |
| Mailing Fax Number | 7065546163 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-02-17 |
| Authorized Official Name | TINA LANE (ADMINISTRATOR) |
| Authorized Official Telephone | 7065544425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1-017-1711 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 51001331 001 | 01 | |
| GA | 00140071A | 05 |
| Other Name | Type Code |
|---|---|
| Brentwood Health and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
115 BRENTWOOD DR |
| City | WAYNESBORO |
| State | GA |
| Zip Code | 30830-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935841 | Benjamin Wade Alverson | Dentist | 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 | 2020-06-08 |
| 1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
| 1508181405 | Walter R. Voyles | Surgery | 506 Burkeland Rd, Waynesboro, GA 30830 | 2010-04-02 |
| 1124264015 | Southern Health Solutions, LLC | Early Intervention Provider Agency | 6293c Highway 23 South, Waynesboro, GA 30830 | 2008-12-23 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
| 1780739599 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 305 Park Drive, Waynesboro, GA 30830 | 2007-01-24 |
| 1356496194 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 556 Hwy 25 South, Waynesboro, GA 30830 | 2007-01-24 |
| 1396890091 | Frances Gilbreth Brown | Counselor | 629 Shadrack Street, Waynesboro, GA 30830 | 2007-01-24 |
| 1316092000 | Connie Golding | Counselor | 727 W. Sixth Street, Waynesboro, GA 30830 | 2007-01-24 |
| Find all providers in zip 30830 | ||||
| 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 |
|---|---|---|---|---|
| 1336488873 | Christine Kay Washington | Skilled Nursing Facility | 18 Virginia Ave, Waynesboro, PA 17268-2317 | 2013-02-04 |
| 1215010277 | Avante At Waynesboro, Inc. | Skilled Nursing Facility | 1221 Rosser Ave, Waynesboro, VA 22980-3336 | 2006-10-23 |
| 1548252810 | Pensacola Health Trust Inc | Skilled Nursing Facility | 1304 Walnut St, Waynesboro, MS 39367-2232 | 2005-08-22 |
| 1427546423 | Curis At Waynesboro Opco LLC | Skilled Nursing Facility | 1221 Rosser Ave, Waynesboro, VA 22980 | 2018-04-25 |
| 1992119010 | Waynesboro Healthcare, LLC | Skilled Nursing Facility | 505 S High St, Waynesboro, TN 38485-2610 | 2014-06-17 |
| 1235543463 | Waynesboro Healthcare, LLC | Skilled Nursing Facility | 104 Jv Mangubat Dr, Waynesboro, TN 38485-2439 | 2014-06-16 |
| 1982864708 | Ms Hud Pine View LLC | Skilled Nursing Facility | 1304 Walnut St, Waynesboro, MS 39367-2232 | 2008-06-16 |
| 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 | ||||
| City | WAYNESBORO |
| Zip Code | 30830 |
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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.