P Praxis·MD
● Active Type 2 · Organization

Eagles Nest Truck Station Inc

Skilled Nursing Facility·Pooler, GA· NPI 1710989462 · Enumerated 2005 · 20 years on NPI
Eagles Nest Truck Station Inc is 1 of 794 skilled nursing facility organizations in Georgia.
NPI age
20 years
Enumerated 2005-08-12
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Penley
Ceo
Last NPPES update
2020-08-22
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 · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
508 S Rogers St
Pooler, GA 313223116
📞 9127486842fax 9127485214
Mailing address
Po Box 929
Pooler, GA 313220929
📞 9127486842fax 9127485214

Authorized official

Thomas W Penley
Ceo
📞 7068551773

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...
    taxonomy 314000000X

Identifiers

TypeValueNotes
05 (GA) 00238741A
01 1041060001 DME

Other names on file (1)

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

  • Moss Oaks Health Care Center
    Type code 3 recorded 2005-08-12

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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