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Ltc Healthcare of Statesboro Inc

Skilled Nursing Facility in Statesboro, GA · enumerated 2005 · authorized official Robert Hagan, President.

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

National Provider Identifier

1700888740

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Registry record

Entity type Organization (Type 2)
Legal business name Ltc Healthcare of Statesboro Inc
Other name <Unavail>
Practice address 101 Stockyard Rd, Statesboro, GA, 30458
Phone (912) 764-6005
Fax (912) 764-4099
Enumeration date Aug 10, 2005
Last updated in NPPES Jul 18, 2019

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Robert Hagan
Title President
Phone (770) 993-4000

Other identifiers

Identifier Type State Issuer
000370F62A 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 Ltc Healthcare of Statesboro Inc 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 2019-07-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-18.