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UNIVERSITY EXTENDED CARE, INC
NPI 1104398866
Nursing Facility/Intermediate Care Facility in Keysville, GA

Active since December 19, 2018
1005 HIGHWAY 88 N, KEYSVILLE, GA 30816(706) 547-2591(706) 547-0492 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Extended Care, Inc NPPES

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

UNIVERSITY EXTENDED CARE, INC (NPI 1104398866), doing business as Keysville Nursing Home & Rehab, is a healthcare organization registered as a nursing facility/intermediate care facility in Keysville, Georgia and active in the NPI registry since December 2018. The organization lists Phyllis Joy Wright, Director Decision Support, as its authorized official.

NPPES Registry Identity

NPI1104398866
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameUNIVERSITY EXTENDED CARE, INC
Location Address1005 HIGHWAY 88 NKeysville, GA 30816
Mailing Address1005 Highway 88 NKeysville, GA 30816 · (706) 547-2591 · Fax (706) 547-0492
Phone(706) 547-2591
Fax(706) 547-0492
Organization SubpartYes
Authorized OfficialPhyllis Joy WrightDirector Decision Support · (706) 828-2445
Enumeration DateDecember 19, 2018
✔ NPI 1104398866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
1005 HIGHWAY 88 N, Keysville, GA 30816
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Other Names 1

Doing Business AsKeysville Nursing Home & Rehab

Other Identifiers 1

Medicaid000141655AGA

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 University Extended Care, Inc's NPI number?

The NPI number for University Extended Care, Inc is 1104398866. It was assigned to this organization in the NPPES registry on December 19, 2018. The provider is doing business as Keysville Nursing Home & Rehab.

Where is University Extended Care, Inc located?

University Extended Care, Inc is located at 1005 Highway 88 N, Keysville, GA 30816. The listed phone number is (706) 547-2591.

What is University Extended Care, Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for University Extended Care, Inc was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.