Provider Demographics
NPI:1891767976
Name:FARMORE, INC.
Entity Type:Organization
Organization Name:FARMORE, INC.
Other - Org Name:NANCY HART NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NHA, PRESIDENT , OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BLACKMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-283-2194
Mailing Address - Street 1:2117 DR GEORGE WARD RD
Mailing Address - Street 2:PO BOX 753
Mailing Address - City:ELBERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30635-5971
Mailing Address - Country:US
Mailing Address - Phone:706-283-3335
Mailing Address - Fax:706-213-6443
Practice Address - Street 1:2117 DR GEORGE WARD RD
Practice Address - Street 2:
Practice Address - City:ELBERTON
Practice Address - State:GA
Practice Address - Zip Code:30635-5971
Practice Address - Country:US
Practice Address - Phone:706-283-3335
Practice Address - Fax:706-213-6443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-0521637314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00141336AMedicaid
GA00141336AMedicaid