PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS – NPI #1184605693
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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS is a skilled nursing facility (SNF) located in STONE MOUNTAIN, GA. NPPES has assigned the NPI number 1184605693 to PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS on November 10, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS” is a dba name, the actual legal business name for this organization is PARK SPRINGS, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 7 years ago on May 02, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS below.

NPI Profile for
PARK SPRINGS, LLC

NPI Number
1184605693
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARK SPRINGS, LLC
Doing Business As (dba): PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS
Primary location
5610 NEW BURMUDA RD
STONE MOUNTAIN, GA 30087
Phone: (770) 879-4330 Fax: (770) 879-7330
Mailing address
500 SPRINGHOUSE CIRCLE
STONE MOUNTAIN, GA 30087-6718
Phone: (770) 879-4330 Fax: (770) 879-7330
Organization Subpart
No
Authorized Official
KEVIN ISAKSON
MANAGER
Phone: (404) 932-6552
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

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

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.