NPI age
19 years
Enumerated 2006-06-25
● Active Type 2 · Organization
Bulloch County Ltc Llc
Bulloch County Ltc Llc is 1 of 794 skilled nursing facility organizations in Georgia.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCoy
Administrator
Last NPPES update
2025-05-16
Source: monthly bulk 2026-05
How this organization compares
Across 794 active skilled nursing facility providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
405 S College St
Statesboro, GA 304585409
Mailing address
Po Box 746
Statesboro, GA 304590746
Authorized official
Taylor McCoy
Administrator
📞 9127644575
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jose Rivera Sepulveda, MD Internal Medicine NPI 1225590821
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000143151A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Eagle Health and Rehabilitation
-
Eagle Health and Rehabilitation
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.