Organization · Type 2 NPI

Park Springs, LLC

Skilled Nursing Facility · Stone Mountain, GA

NPI number 1184605693 Active

Practice location

5610 New Burmuda Rd
Stone Mountain, GA 30087

Call (770) 879-4330 Map

Fax (770) 879-7330

Mailing address

500 Springhouse Circle
Stone Mountain, GA 30087-6718

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	044-03-031-1 (GA)
Skilled Nursing Facility Primary	314000000X	1-044-1825 (GA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1184605693
Entity type: Organization (Type 2)
Issued: Nov 10, 2005
Last updated: May 2, 2019
Status: Active

Other names

<unavail>
Pebblebrook Health Center at Park Springs · doing business as
Pebblebrook Health Center at Park Springs · doing business as

Authorized official

Mr. Kevin W. Isakson
Manager
(404) 932-6552

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184605693

Park Springs, LLC's National Provider Identifier is 1184605693, issued on Nov 10, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Stone Mountain, GA. The record was last updated on May 2, 2019.