Green Street Nh LLC
Skilled Nursing Facility in Thomaston, GA. Organization (NPI-2).
NPI number1497195051
StatusActive
Last updated in NPPESJun 27, 2013
Details
- NPI
- 1497195051
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Street Nh LLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2013
- Last updated
- Jun 27, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 |
Other names
- Providence Healthcare Of Thomaston (Doing Business As)
Practice location
1011 S Green StThomaston, GA 30286-4643
Phone 706-647-6693 · Fax 706-648-9255
Mailing address
1011 S Green StThomaston, GA 30286-4643
Phone 706-647-6693 · Fax 706-648-9255
Authorized official
Nancy Shmays
Secretary
7706507086
Is something wrong?
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All 6 Skilled Nursing Facility providers in Thomaston · All 280 providers in Thomaston
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