University Extended Care, Inc
NPI 1104398866ActiveOrganization· Nursing Facility/Intermediate Care Facility· Keysville, GA
Nursing Facility/Intermediate Care Facility in Keysville, Georgia, registered in NPPES in December 2018, part of University Extended Care, Inc. The authorized official on file is Phyllis Joy Wright, Director Decision Support.
Overview
| NPI | 1104398866 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | University Extended Care, Inc |
| NPI issued | Dec 19, 2018 |
| Last updated in NPPES | Dec 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | — | — |
| Skilled Nursing Facility | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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