Provider Demographics
NPI:1508858341
Name:NORKUS, INC
Entity Type:Organization
Organization Name:NORKUS, INC
Other - Org Name:FITZGERALD NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NORKUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-423-4361
Mailing Address - Street 1:185 BOWENS MILL HWY
Mailing Address - Street 2:
Mailing Address - City:FITZGERALD
Mailing Address - State:GA
Mailing Address - Zip Code:31750-7803
Mailing Address - Country:US
Mailing Address - Phone:229-423-4361
Mailing Address - Fax:229-423-4362
Practice Address - Street 1:185 BOWENS MILL HWY
Practice Address - Street 2:
Practice Address - City:FITZGERALD
Practice Address - State:GA
Practice Address - Zip Code:31750-7803
Practice Address - Country:US
Practice Address - Phone:229-423-4361
Practice Address - Fax:229-423-4362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-009-992314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00140995AMedicaid
GA115617Medicare ID - Type UnspecifiedPROVIDER NUMBER