Bulloch County Ltc LLC
NPI 1023044518ActiveOrganization· Skilled Nursing Facility· Statesboro, GA
Skilled Nursing Facility in Statesboro, Georgia, registered in NPPES in June 2006. The authorized official on file is Taylor McCoy, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1023044518 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2006 |
| Last updated in NPPES | May 16, 2025 |
| Certified by provider | May 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 1-016-1898 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (GA) |
|---|
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