BRANDON WILDE
NPI 1508855115
Skilled Nursing Facility in Evans, GA
About Brandon Wilde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON WILDE (NPI 1508855115) is a healthcare organization registered as a skilled nursing facility in Evans, Georgia and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Richard Kisner, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 11D0938739
Brandon Wilde LLC Dba Pavilion At Brandon Wilde · Evans, GAOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Augusta Resource Center On Aging, Inc.'s NPI number?
The NPI number for Augusta Resource Center On Aging, Inc. is 1508855115. It was assigned to this organization in the NPPES registry on October 17, 2005. The provider is doing business as Brandon Wilde.
Where is Augusta Resource Center On Aging, Inc. located?
Augusta Resource Center On Aging, Inc. is located at 4275 Owens Rd, Evans, GA 30809. The listed phone number is (706) 868-3526.
What is Augusta Resource Center On Aging, Inc.'s specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Augusta Resource Center On Aging, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0938739) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Augusta Resource Center On Aging, Inc. was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.