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

Providence Health and Rehabilitation Center, Inc

Organization Skilled Nursing Facility · NPI 1083660120

Providence Health and Rehabilitation Center, Inc is a Skilled Nursing Facility in Thomaston, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1011 S Green St
Thomaston, GA 30286-4643 Not confirmed with CMS for 19 years — call before visiting
Phone: (706) 647-6693
Fax: (706) 648-9255
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 1-145-1868 (GA)

Record details

NPI number1083660120
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProhealth Resource Group, Inc
Authorized official Richard Fallaw — President · (229) 268-7510
NPI enumeratedMay 26, 2006
Last updated in NPPESOctober 4, 2007
Mailing address1011 S Green St, Thomaston, GA 30286-4643

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Thomaston