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KEYSVILLE NURSING HOME & REHABILITATION CENTER
NPI 1174514160
Skilled Nursing Facility in Keysville, GA

Active since October 31, 2005CLIA 11D0262576 · Waiver
1005 HIGHWAY 88 NORTH, KEYSVILLE, GA 30816(706) 547-2591(706) 547-0492 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keysville Nursing Home & Rehabilitation Center NPPES

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

KEYSVILLE NURSING HOME & REHABILITATION CENTER (NPI 1174514160) is a healthcare organization registered as a skilled nursing facility in Keysville, Georgia and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lois N Parrish, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174514160
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKEYSVILLE NURSING HOME & REHABILITATION CENTER
Location Address1005 HIGHWAY 88 NORTHKeysville, GA 30816
Mailing AddressPo Box 220Keysville, GA 30816-0220 · (706) 547-2591 · Fax (706) 547-0492
Phone(706) 547-2591
Fax(706) 547-0492
Organization SubpartNo
Authorized OfficialLois N ParrishAdministrator · (706) 547-2591
Enumeration DateOctober 31, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174514160 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 · 1-017-1616
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.
1005 HIGHWAY 88 NORTH, Keysville, GA 30816
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Other Identifiers 1

Medicaid00141655AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0262576

Keysville Nursing Home & Rehab Center · Keysville, GA
Active · expires Aug 31, 2026
CLIA Number11D0262576
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohnny F. Christian MD
Laboratory Phone(706) 547-2591
Laboratory LocationKeysville Nursing Home & Rehab Center1005 Hwy 88 North, Keysville, GA 30816
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GIBSON HEALTH CARE LLC
Nursing Facility/Intermediate Care Facility
1005 HIGHWAY 88 NORTH
KEYSVILLE, GA 30816
Burke County (706) 547-2591

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 Keysville Nursing Home & Rehabilitation Center's NPI number?

The NPI number for Keysville Nursing Home & Rehabilitation Center is 1174514160. It was assigned to this organization in the NPPES registry on October 31, 2005.

Where is Keysville Nursing Home & Rehabilitation Center located?

Keysville Nursing Home & Rehabilitation Center is located at 1005 Highway 88 North, Keysville, GA 30816. The listed phone number is (706) 547-2591.

What is Keysville Nursing Home & Rehabilitation Center's specialty?

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

Does Keysville Nursing Home & Rehabilitation Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0262576) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keysville Nursing Home & Rehabilitation Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.