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COASTAL MANOR NURSING HOME
NPI 1265463004
Skilled Nursing Facility in Ludowici, GA

Active since July 06, 2006CLIA 11D0964464 · Waiver
HWY 84 EAST, LUDOWICI, GA 31316(912) 545-3392(912) 545-9588 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Manor Nursing Home NPPES

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

COASTAL MANOR NURSING HOME (NPI 1265463004) is a healthcare organization registered as a skilled nursing facility in Ludowici, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Derek Rozier, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265463004
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOSPITAL AUTHORITY OF LIBERTY COUNTY
Location AddressHWY 84 EASTLudowici, GA 31316
Mailing AddressRr 3 Box 2dLudowici, GA 31316-9701 · (912) 545-3392 · Fax (912) 545-9588
Phone(912) 545-3392
Fax(912) 545-9588
Organization SubpartYes
Authorized OfficialDerek RozierCfo · (912) 369-9427
Enumeration DateJuly 6, 2006
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1265463004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
HWY 84 EAST, Ludowici, GA 31316
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Other Names 1

Doing Business AsCoastal Manor Nursing Home

Other Identifiers 1

Medicaid000856028AGA

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 11D0964464

Coastal Manor · Ludowici, GA
Active · expires Aug 25, 2027
CLIA Number11D0964464
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorDonald L. Lovette
Laboratory Phone(912) 369-9400
Laboratory LocationCoastal Manor82 Ludowici Industrial Park, Ludowici, GA 31316
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Hospital Authority Of Liberty County's NPI number?

The NPI number for Hospital Authority Of Liberty County is 1265463004. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Coastal Manor Nursing Home.

Where is Hospital Authority Of Liberty County located?

Hospital Authority Of Liberty County is located at Hwy 84 East, Ludowici, GA 31316. The listed phone number is (912) 545-3392.

What is Hospital Authority Of Liberty County's specialty?

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

Does Hospital Authority Of Liberty County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0964464) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hospital Authority Of Liberty County was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.