Lcs Brandon Wilde LLC
NPI 1821580440ActiveOrganization· Skilled Nursing Facility· Evans, GA
Skilled Nursing Facility in Evans, Georgia, registered in NPPES in May 2018. The authorized official on file is Diane C. Bridgewater, Manager Of Managing Member.
Overview
| NPI | 1821580440 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2018 |
| Last updated in NPPES | Jun 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 1-036-2130 | GA |
| Assisted Living Facility | 310400000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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