Provider Demographics
NPI:1912311945
Name:ADVENT PROPERTIES, INC.
Entity Type:Organization
Organization Name:ADVENT PROPERTIES, INC.
Other - Org Name:REHABILITATION CENTER OF SOUTH GEORGIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/CFO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:478-988-1294
Mailing Address - Street 1:1211 MACON RD STE D
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:GA
Mailing Address - Zip Code:31069-2679
Mailing Address - Country:US
Mailing Address - Phone:478-988-1294
Mailing Address - Fax:478-988-1193
Practice Address - Street 1:2002 TIFT AVE N
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-1824
Practice Address - Country:US
Practice Address - Phone:229-382-7342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000143283AMedicaid
GA115676Medicare Oscar/Certification