RESTORATION HEALTH CARE OF COMMERCE, LLC; NPI #1912079039

Contact Information

RESTORATION HEALTH CARE OF COMMERCE, LLC

70 MEDICAL CENTER DRIVE
COMMERCE, GA 30529

Phone: 706-335-1000
Fax: 706-335-7701
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural	282NR1301X
Medicare Defined Swing Bed Unit	275N00000X	A0[7]	Hospital-Swing Bed Approved
Psychiatric Unit	273R00000X	A0[7]	Hospital-Psychiatric Unit

Indicates primary specialty

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NPI Profile & details for RESTORATION HEALTH CARE OF COMMERCE, LLC

NPI Number 1912079039

LBN Legal business name RESTORATION HEALTH CARE OF COMMERCE, LLC

Authorized official JERRY WISE - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/14/2006

Last updated 08/12/2020 - About 6 years ago

Identifiers

GA	Medicaid	00000151A
GA	Medicaid	00000151D
GA	Medicaid	00000151S
GA	Medicaid	00059331A
GA	Medicaid	00304059G
GA	Medicaid	00559248C
GA	Medicaid	00808244A
GA	Other	000042	BLUE CROSS
GA	Other	852155	BLUE CROSS CLINIC
GA	Other	191184	BLUE CROSS CRNA

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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RESTORATION HEALTH CARE OF COMMERCE, LLC

Contact Information

Specialty

Rural

Medicare Defined Swing Bed Unit

Psychiatric Unit

NPI Profile & details for RESTORATION HEALTH CARE OF COMMERCE, LLC

Reviews for RESTORATION HEALTH CARE OF COMMERCE, LLC