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Contact Information

PARK SPRINGS, LLC
5610 NEW BURMUDA RD
STONE MOUNTAIN, GA30087
 Phone: 770-879-4330
 Fax: 770-879-7330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for PARK SPRINGS, LLC

NPI Number 1184605693
LBN Legal business name PARK SPRINGS, LLC
Authorized official KEVIN ISAKSON - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2005
Last updated 05/02/2019 - About 7 years ago
Identifiers
GA License # 044-03-031-1
GA License # 1-044-1825
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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