TY COBB HEALTHCARE SYSTEM (NPI# 1528175593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528175593 |
Entity Type | Organization |
Organization Name | TY COBB HEALTHCARE SYSTEM |
Other Organization Name | BROWN MEMORIAL CONVALESCENT CENTER |
Practice Address |
545 Cook Street Royston GA 30662-0589 |
Mailing Address |
Po Box 589 Royston GA 30662-0589 |
Practice Telephone | 7062451900 |
Practice Fax Number | 7062451918 |
Mailing Telephone | 7062451290 |
Mailing Fax Number | 7062451411 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2007-10-30 |
Authorized Official Name | MS. KIMBERLY A MASSEY (CONTROLLER) |
Authorized Official Telephone | 7062451290 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 1-059-485 | GA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00059562A | 05 |
Other Name | Type Code |
---|---|
Brown Memorial Convalescent Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205942109 | Ty Cobb Healthcare System | Skilled Nursing Facility | 2430 Paoli St, Comer, GA 30629-3470 | 2006-08-22 |
1083711691 | Ty Cobb Healthcare System | General Acute Care Hospital | 521 Franklin Springs St, Royston, GA 30662-3934 | 2006-09-19 |
1710095054 | Ty Cobb Healthcare System | Medicare Defined Swing Bed Unit | 521 Franklin Springs St, Royston, GA 30662-3934 | 2006-08-28 |
Street Address |
545 COOK STREET |
City | ROYSTON |
State | GA |
Zip Code | 30662-0589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073053963 | Crystal Roach | Occupational Therapist | 874 Halley Rd., Royston, GA 30662 | 2017-02-27 |
1477965358 | Community Care Pharmacy of Royston | Pharmacy | 635 Cook Street, Royston, GA 30662 | 2014-05-27 |
1407919731 | Abby H Bedichek | Occupational Therapist | 613 Cook Street, Royston, GA 30662 | 2006-12-18 |
1215005053 | Julian Douglas Sharpton | Family Medicine | 891 Church Street, Royston, GA 30662 | 2006-12-01 |
1043306509 | Diane Veronica Lewis | Licensed Practical Nurse | 1025 Cromers Bridge Road, Royston, GA 30662 | 2006-10-04 |
1154351591 | Shalimar Sheree Crowe | Specialist/Technologist | 181 Spring St, Royston, GA 30662 | 2006-07-03 |
1497735328 | Laurie Martin-kiser | Nurse Practitioner | 819 Church Street, Royston, GA 30662 | 2006-01-18 |
1619034584 | Patricia Kieley Adkins | Psychologist | 613 Cook Street, Royston, GA 30662 | 2007-01-02 |
1487719688 | Robin Turner Vining | Speech-Language Pathologist | 613 Cook St, Royston, GA 30662 | 2006-12-27 |
1972144152 | Heather Lynn Partridge | Nurse Practitioner | 930 Franklin Springs St. Ste. A, Royston, GA 30662-1623 | 2019-09-30 |
Find all providers in zip 30662 |
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 |
---|---|---|---|---|
1881011492 | Franklin County Health & Rehabilitation, LLC | Skilled Nursing Facility | 545 Cook St, Royston, GA 30662-3902 | 2014-03-20 |
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.