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Providence Health and Rehabilitation Center, Inc.

Skilled Nursing Facility in Thomaston, GA · enumerated 2006 · authorized official Richard Fallaw, President.

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

National Provider Identifier

1083660120

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health and Rehabilitation Center, Inc.
Parent organization Prohealth Resource Group, Inc.
Practice address 1011 S Green St, Thomaston, GA, 30286
Phone (706) 647-6693
Fax (706) 648-9255
Enumeration date May 26, 2006
Last updated in NPPES Oct 4, 2007

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 1-145-1868 (GA) Primary

Authorized official

Name Richard Fallaw
Title President
Phone (229) 268-7510

Other identifiers

Identifier Type State Issuer
51004538001 Other - BLUE CROSS/BLUE SHIELD
00142612A 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

What is the NPI number for Providence Health and Rehabilitation Center, Inc.?
The NPI for Providence Health and Rehabilitation Center, Inc. is 1083660120, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Health and Rehabilitation Center, Inc.?
NPPES lists Richard Fallaw (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-04.