MEDICARE: WARE COUNTY HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	1-148-949	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215921713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARE COUNTY HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	1910 DOROTHY ST
Second Line	:
City	:	WAYCROSS
State	:	GA
Zip	:	31501-7161
Country	:	US
Telephone Number	:	912-638-7275
Fax Number	:	912-638-7756

Provider Business Practice Location Address
First Line	:	1910 DOROTHY ST
Second Line	:
City	:	WAYCROSS
State	:	GA
Zip	:	31501-7161
Country	:	US
Telephone Number	:	912-285-4721
Fax Number	:	912-285-0058

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KIM HODGES
Credential	:
Telephone Number	:	912-285-4721

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	02/12/2026

Similar Medicare Providers

1952390080 — COASTAL HEALTH SERVICES, INC.
Practice Location Address:

1910 DOROTHY ST
WAYCROSS, GA
31501-7161

Practice Phone: 478-783-4988
Practice Fax:

1629748579 — MRS. ELIZABETH DAVIS CALLAHAN NP-C
Practice Location Address:

1910 DOROTHY ST
WAYCROSS, GA
31501-7161

Practice Phone: 912-285-4721
Practice Fax:

1396699005 — CRYSTAL LYNN BOYETT LPC
Practice Location Address:

1421 CHARLTON ST
WAYCROSS, GA
31501-7121

Practice Phone: 912-809-0961
Practice Fax:

1255613592 — DR. ROBERT GARY CARBAUGH M.D.
Practice Location Address:

914 CARRIE DR
WAYCROSS, GA
31501-4235

Practice Phone: 912-285-3876
Practice Fax:

1154336279 — WALGREEN CO
Practice Location Address:

1740 MEMORIAL DR
WAYCROSS, GA
31501-1044

Practice Phone: 912-338-9127
Practice Fax:

1154202810 — CLINICAL DIAGNOSTIC SERVICES
Practice Location Address:

506 HILL ST
WAYCROSS, GA
31501-3323

Practice Phone: 912-406-2237
Practice Fax: 339-207-0790

Directions to “WARE COUNTY HEALTH CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.