Provider Demographics
NPI:1447236260
Name:HAMILTON MILL ASSOCIATES, L.P.
Entity Type:Organization
Organization Name:HAMILTON MILL ASSOCIATES, L.P.
Other - Org Name:BELL MINOR HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-992-0441
Mailing Address - Street 1:2200 OLD HAMILTON PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507-7892
Mailing Address - Country:US
Mailing Address - Phone:770-532-2066
Mailing Address - Fax:770-532-3432
Practice Address - Street 1:2200 OLD HAMILTON PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30507-7892
Practice Address - Country:US
Practice Address - Phone:770-532-2066
Practice Address - Fax:770-532-3432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-69-1828314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000059397AMedicaid
GA549581258AMedicaid
115020Medicare Oscar/Certification