The Reserve At Fort Gaines Of Journey LLC
Skilled Nursing Facility in Fort Gaines, GA. Organization (NPI-2).
NPI number1093676397
StatusActive
Last updated in NPPESNov 18, 2025
Details
- NPI
- 1093676397
- Entity type
- Organization (NPI-2)
- Legal business name
- The Reserve At Fort Gaines Of Journey LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2025
- Certification date
- Nov 18, 2025
- Last updated
- Nov 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
101 Hartford Rd WFort Gaines, GA 39851-4331
Phone 229-768-2521
Mailing address
101 Hartford Rd WFort Gaines, GA 39851-4331
Phone 229-768-2521
Authorized official
Bernard J McGuinness
Member Of LLC
2297682521
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