INEPENDENT LIVING CARE
NPI 1982448916
Nursing Home Administrator in Screven, GA

Active since June 24, 2024
134 BROWN ST, SCREVEN, GA 31560(912) 202-3674 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nursing Home Administrator

About INEPENDENT LIVING CARE

This page provides the complete NPI Profile along with additional information for Inependent Living Care, a provider established in Screven, Georgia operating as a Nursing Home Administrator. The healthcare provider is registered in the NPI registry with number 1982448916 assigned on June 2024. The practitioner's primary taxonomy code is 376G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Patricia Ann Jernigan (Ceo)

NPI
1982448916 Verify this NPI
Provider Name
INEPENDENT LIVING CARE
Entity Type
Organization
Location Address
134 BROWN ST SCREVEN, GA 31560
Location Phone
(912) 202-3674
Mailing Address
134 BROWN STREET P O BOX 494 SCREVEN, GA 31560
Mailing Phone
(912) 202-6344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2024
Last Update Date
06-24-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Home Administrator

Taxonomy Code
376G00000X
Type
Nursing Service Related Providers
Taxonomy Description
An individual, often licensed by the state, who is responsible for the management of a nursing home.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PATRICIA ANN JERNIGAN

Authorized Official Title
CEO
Authorized Official Phone
(912) 202-6344

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse's Aide
134 BROWN ST
SCREVEN, GA 31560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982448916, enumerated as an "organization" on June 24, 2024.

The provider is located at 134 BROWN ST SCREVEN, GA 31560 and the phone number is (912) 202-3674.

Nursing Home Administrator with taxonomy code 376G00000X.