P Praxis·MD
● Active Type 2 · Organization

Mt. Kenn Nursing, Llc

Skilled Nursing Facility·Marietta, GA· NPI 1053366336 · Enumerated 2006 · 20 years on NPI
Mt. Kenn Nursing, Llc is 1 of 794 skilled nursing facility organizations in Georgia.
NPI age
20 years
Enumerated 2006-05-24
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gentry
Presidnet And Ceo
Last NPPES update
2011-07-25
Source: monthly bulk 2026-05

How this organization compares

Across 794 active skilled nursing facility providers in Georgia.

NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1480 Sandtown Road
Marietta, GA 300083821
📞 7704421755fax 7704428784
Mailing address
5057 Troy Road
Springfield, OH 455028150
📞 9379648974fax 9379648961

Authorized official

Boyd P Gentry
Presidnet And Ceo
📞 9379648974

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...
    GA license #1-033-1982GA license #05-47025 taxonomy 314000000X

Identifiers

TypeValueNotes
05 (GA) 00140159A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Autumn Breeze Healthcare Center
    Type code 3 recorded 2006-05-24

Practice context

Single-site organization. Only one practice location on file.

Provyx · Custom healthcare lists

Need all 794 Skilled Nursing Facility providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related