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NPI Code Detail

MEDICARE: CARROLLTON CROSSING OF JOURNEY LLC

MEDICARE: CARROLLTON CROSSING OF JOURNEY 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1821967225
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARROLLTON CROSSING OF JOURNEY LLC
Provider Business Mailing Address
First Line : 2327 N HIGHWAY 27
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-6701
Country : US
Telephone Number : 770-834-4404
Fax Number :
Provider Business Practice Location Address
First Line : 2327 N HIGHWAY 27
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-6701
Country : US
Telephone Number : 770-834-4404
Fax Number :
Authorized Official
Title or Position : MEMBER OF LLC
Name : BERNARD J MCGUINNESS III
Credential :
Telephone Number : 317-523-4786
Provider Enumeration Date : 11/03/2025
Last Update Date : 11/03/2025

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Directions to “CARROLLTON CROSSING OF JOURNEY LLC ” Practice Location

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