Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Immanuel House Personal Care Home, LLC

Organization Licensed Practical Nurse · NPI 1205514445

Immanuel House Personal Care Home, LLC is a Licensed Practical Nurse in Mount Vernon, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

422 N Washington St
Mount Vernon, GA 30445
Phone: (740) 600-0004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X

Record details

NPI number1205514445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Wiggs — Director · (740) 600-0004
Other names Immanuel House Personal Care Home, Llc
NPI enumeratedJuly 7, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJune 30, 2023
Mailing address134 Teatsworth Dr, Chillicothe, OH 45601-2752