THE OAKS - BETHANY ASSISTED LIVING
NPI 1003210048
Assisted Living Facility in Vidalia, GA

Active since October 20, 2014
1400 NE MAIN ST, VIDALIA, GA 30474(912) 538-9700(912) 538-9702 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Oaks - Bethany Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE OAKS - BETHANY ASSISTED LIVING (NPI 1003210048) is a healthcare organization registered as an assisted living facility in Vidalia, Georgia and active in the NPI registry since October 2014. The organization lists Neil L. Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1003210048
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE OAKS - BETHANY ASSISTED LIVING, LLC
Location Address1400 NE MAIN STVidalia, GA 30474-8644
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200 · Fax (770) 931-5278
Fax(912) 538-9702
Organization SubpartNo
Authorized OfficialNeil L. PruittChairman And Ceo · (770) 279-6200
Enumeration DateOctober 20, 2014
NPI 1003210048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in GA · PCH008331
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1400 NE MAIN ST, Vidalia, GA 30474

Other Names 1

Doing Business AsThe Oaks - Bethany Assisted Living

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1400 NE MAIN ST, BETHANY ALF
VIDALIA, GA 30474
Physical Therapist
1400 NE MAIN ST
VIDALIA, GA 30474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Oaks - Bethany Assisted Living, LLC's NPI number?

The NPI number for The Oaks - Bethany Assisted Living, LLC is 1003210048. It was assigned to this organization in the NPPES registry on October 20, 2014. The provider is doing business as The Oaks - Bethany Assisted Living.

Where is The Oaks - Bethany Assisted Living, LLC located?

The Oaks - Bethany Assisted Living, LLC is located at 1400 NE Main St, Vidalia, GA 30474. The listed phone number is (912) 538-9700.

What is The Oaks - Bethany Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for The Oaks - Bethany Assisted Living, LLC was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.