ADVENT CARE SYSTEMS OF OCILLA, LLC; NPI #1982227781

Contact Information

ADVENT CARE SYSTEMS OF OCILLA, LLC

501 N IRWIN AVE
OCILLA, GA 31774-5007

Phone: 912-433-0615
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Clinical	103TC0700X	62	Psychologist, Clinical
Endodontics	1223E0200X
General Practice	1223G0001X
Mental Health	101YM0800X
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Occupational Therapist	225X00000X	67	Occupational Therapist in Private Practice
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)
Pediatric Dentistry	1223P0221X
Pharmacist	183500000X
Physical Therapist	225100000X	65	Physical Therapist in Private Practice
Podiatrist	213E00000X	48	Podiatry
Primary Care	261QP2300X
Sports Medicine	213ES0000X	48	Podiatry
Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ADVENT CARE SYSTEMS OF OCILLA, LLC

NPI # 1982227781

LBN Legal business name ADVENT CARE SYSTEMS OF OCILLA, LLC

Authorized official RYAN TRETTIEN - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2020

Last updated 09/16/2020 - About 6 years ago

Identifiers

Other

1139398320

FQHC - IRWIN COUNTY LOW INCOME CERTIFICATION

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ADVENT CARE SYSTEMS OF OCILLA, LLC

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NPI Profile & details for ADVENT CARE SYSTEMS OF OCILLA, LLC

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