PROVIDENCE HEALTH AND REHABILITATION CENTER, INC.
NPI 1083660120
Skilled Nursing Facility in Thomaston, GA

Active since May 26, 2006
1011 S GREEN ST, THOMASTON, GA 30286(706) 647-6693(706) 648-9255 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Health And Rehabilitation Center, Inc. NPPES

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

PROVIDENCE HEALTH AND REHABILITATION CENTER, INC. (NPI 1083660120) is a healthcare organization registered as a skilled nursing facility in Thomaston, Georgia and active in the NPI registry since May 2006. The organization lists Richard E. Fallaw, President, as its authorized official.

NPPES Registry Identity

NPI1083660120
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROVIDENCE HEALTH AND REHABILITATION CENTER, INC.
Location Address1011 S GREEN STThomaston, GA 30286-4643
Mailing Address1011 S Green StThomaston, GA 30286-4643 · (706) 647-6693 · Fax (706) 648-9255
Fax(706) 648-9255
Organization SubpartYesParent: Prohealth Resource Group, Inc.
Authorized OfficialRichard E. FallawPresident · (229) 268-7510
Enumeration DateMay 26, 2006
Last NPPES UpdateOctober 4, 2007
NPI 1083660120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in GA · 1-145-1868
Definition
(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.
1011 S GREEN ST, Thomaston, GA 30286

Other Identifiers 3

Other51004538001Blue Cross/blue Shield
Medicare ID-Type Unspecified11-5484
Medicaid00142612AGA

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
1011 S GREEN ST
THOMASTON, GA 30286
Skilled Nursing Facility
1011 S GREEN ST
THOMASTON, GA 30286
Skilled Nursing Facility
1011 S GREEN ST
THOMASTON, GA 30286

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 Providence Health And Rehabilitation Center, Inc.'s NPI number?

The NPI number for Providence Health And Rehabilitation Center, Inc. is 1083660120. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Providence Health And Rehabilitation Center, Inc. located?

Providence Health And Rehabilitation Center, Inc. is located at 1011 S Green St, Thomaston, GA 30286. The listed phone number is (706) 647-6693.

What is Providence Health And Rehabilitation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Providence Health And Rehabilitation Center, Inc. was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.