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HEART OF GEORGIA NURSING HOME
NPI 1285787630
Skilled Nursing Facility in Eastman, GA

Active since January 19, 2007CLIA 11D0646035 · Waiver
815 LEGION DR, EASTMAN, GA 31023(478) 374-5571(478) 374-5573 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heart Of Georgia Nursing Home NPPES

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

HEART OF GEORGIA NURSING HOME (NPI 1285787630) is a healthcare organization registered as a skilled nursing facility in Eastman, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Paul Edward Milner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1285787630
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name801 LEGION LLC
Location Address815 LEGION DREastman, GA 31023
Mailing Address815 Legion DrEastman, GA 31023 · (478) 374-5571 · Fax (478) 374-5573
Phone(478) 374-5571
Fax(478) 374-5573
Organization SubpartNo
Authorized OfficialPaul Edward MilnerAdministrator · (478) 374-5571
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 15, 2008
✔ NPI 1285787630 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 · 314000000
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.
815 LEGION DR, Eastman, GA 31023
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Other Names 1

Doing Business AsHeart Of Georgia Nursing Home

Other Identifiers 2

Medicare ID-Type Unspecified11-5471GA
Medicaid00141358AGA

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 11D0646035

Heart Of Georgia Nursing Home · Eastman, GA
Active · expires Aug 31, 2026
CLIA Number11D0646035
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBlake E. Milner
Laboratory Phone(478) 374-5571
Laboratory LocationHeart Of Georgia Nursing Home801 Legion Drive, Eastman, GA 31023
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MARY KRISTEN ELENA DOWDY COTA/L
Occupational Therapy Assistant
815 LEGION DR
EASTMAN, GA 31023
Dodge County (478) 374-5571
LESLIE PHAGAN
Physical Therapy Assistant
815 LEGION DR
EASTMAN, GA 31023
Dodge County (478) 374-5571
AZ OPERATOR LLC
Skilled Nursing Facility
815 LEGION DR
EASTMAN, GA 31023
Dodge County (478) 231-6866
DEVYN MICHELLE HOLLOWAY PTA
Physical Therapy Assistant
815 LEGION DR
EASTMAN, GA 31023
Dodge County (478) 374-5571
JAIME JOSEY
Licensed Practical Nurse
815 LEGION DR
EASTMAN, GA 31023
Dodge County (478) 374-5571
MS. MACY SHEA COLEMAN PTA
Physical Therapy Assistant
815 LEGION DR
EASTMAN, GA 31023
Dodge County (478) 374-5571
HOG HOLDINGS LLC
Skilled Nursing Facility
815 LEGION DR
EASTMAN, GA 31023
Dodge County (478) 374-5571

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 801 Legion LLC's NPI number?

The NPI number for 801 Legion LLC is 1285787630. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Heart Of Georgia Nursing Home.

Where is 801 Legion LLC located?

801 Legion LLC is located at 815 Legion Dr, Eastman, GA 31023. The listed phone number is (478) 374-5571.

What is 801 Legion LLC's specialty?

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

Does 801 Legion LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0646035) 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 801 Legion LLC was last updated on July 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.