FORT VALLEY HEALTH CARE
NPI 1376604082
Skilled Nursing Facility in Fort Valley, GA

Active since December 13, 2006
604 BLUEBIRD BLVD, FORT VALLEY, GA 31030(478) 825-2031(478) 825-2041 Get Directions Write a Review

NPPES record last updated: September 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Valley Health Care NPPES

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

FORT VALLEY HEALTH CARE (NPI 1376604082) is a healthcare organization registered as a skilled nursing facility in Fort Valley, Georgia and active in the NPI registry since December 2006. The organization lists Tygh Brogdon, Manager, as its authorized official.

NPPES Registry Identity

NPI1376604082
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRENTWOOD NURSING LLC
Location Address604 BLUEBIRD BLVDFort Valley, GA 31030-5081
Mailing Address604 Bluebird BlvdFort Valley, GA 31030-5081 · (478) 825-2031 · Fax (478) 825-2041
Fax(478) 825-2041
Organization SubpartNo
Authorized OfficialTygh BrogdonManager · (770) 650-8773
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 29, 2008
NPI 1376604082 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 · 1-111-1746
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.
604 BLUEBIRD BLVD, Fort Valley, GA 31030

Other Names 1

Doing Business AsFort Valley Health Care

Other Identifiers 2

Medicare ID-Type Unspecified11-5651GA · Medicare Number
Medicaid00141028AGA

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
604 BLUEBIRD BLVD
FORT VALLEY, GA 31030
Skilled Nursing Facility
604 BLUEBIRD BLVD
FORT VALLEY, GA 31030
Obstetrics & Gynecology (Gynecology)
604 BLUEBIRD BLVD
FORT VALLEY, GA 31030
Nurse Practitioner (Primary Care)
604 BLUEBIRD BLVD
FORT VALLEY, GA 31030

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 Brentwood Nursing LLC's NPI number?

The NPI number for Brentwood Nursing LLC is 1376604082. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Fort Valley Health Care.

Where is Brentwood Nursing LLC located?

Brentwood Nursing LLC is located at 604 Bluebird Blvd, Fort Valley, GA 31030. The listed phone number is (478) 825-2031.

What is Brentwood Nursing LLC'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 Brentwood Nursing LLC was last updated on September 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.