Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Immanuel House Personal Care Home, LLC

Organization Licensed Practical Nurse · NPI 1205514445

Immanuel House Personal Care Home, LLC provides Licensed Practical Nurse services in Mount Vernon, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

422 N Washington St
Mount Vernon, GA 30445
Phone: (740) 600-0004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X

Record details

NPI number1205514445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Wiggs — Director · (740) 600-0004
Other names Immanuel House Personal Care Home, Llc
NPI enumeratedJuly 7, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJune 30, 2023
Mailing address134 Teatsworth Dr, Chillicothe, OH 45601-2752