P Praxis·MD
● Active Type 2 · Organization

Immanuel House Personal Care Home, Llc

Licensed Practical Nurse·Mount Vernon, GA· NPI 1205514445 · Enumerated 2023 · 2 years on NPI
Immanuel House Personal Care Home, Llc is 1 of 1344 licensed practical nurse organizations in Georgia.
NPI age
2 years
Enumerated 2023-07-07
Primary specialty
Licensed Practical Nurse
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wiggs
Director
Last NPPES update
2023-07-07
Source: monthly bulk 2026-05

How this organization compares

Across 1344 active licensed practical nurse providers in Georgia.

NPI age
2 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-07Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
422 N Washington Street
Mount Vernon, GA 30445
📞 7406000004
Mailing address
134 Teatsworth Dr
Chillicothe, OH 456012752
📞 7406000004

Authorized official

Kimberly Wiggs, LPN
Director
📞 7406000004

Specialties

  • Licensed Practical Nurse Primary
    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
    taxonomy 164W00000X

Other names on file (1)

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

  • Immanuel House Personal Care Home, LLC
    Type code 5 recorded 2023-06-30

Practice context

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

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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.

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