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Bulloch County Ltc LLC

Skilled Nursing Facility in Statesboro, GA · enumerated 2006 · authorized official Taylor Mccoy, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023044518

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Registry record

Entity type Organization (Type 2)
Legal business name Bulloch County Ltc LLC
Other name <Unavail>
Practice address 405 S College St, Statesboro, GA, 30458
Phone (912) 764-4575
Fax (912) 764-3916
Enumeration date Jun 25, 2006
Last updated in NPPES May 16, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 1-016-1898 (GA) Primary

Authorized official

Name Taylor Mccoy
Title Administrator
Phone (912) 764-4575

Other identifiers

Identifier Type State Issuer
000143151A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Bulloch County Ltc LLC located?
The practice location on file with NPPES is in Statesboro, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-16.