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Contact Information

RESTORATION HEALTHCARE OF COMMERCE LLC
100 MEDICAL CENTER DRIVE
COMMERCE, GA30529-1079
 Phone: 706-335-1152
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for RESTORATION HEALTHCARE OF COMMERCE LLC

NPI Number 1205818903
LBN Legal business name RESTORATION HEALTHCARE OF COMMERCE LLC
Authorized official JAMES KNIGHT - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2005
Last updated 02/12/2026 - About 4 months ago
Identifiers
GA License # 10780292
GA License # 10781959
GA Medicaid 000059331A
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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