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

Providence SNF Operator LLC

Organization Skilled Nursing Facility · NPI 1114448271

Providence SNF Operator LLC is a Skilled Nursing Facility in Thomaston, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1011 S Green St
Thomaston, GA 30286-4643
Phone: (706) 647-6693
Fax: (706) 648-9255
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (GA)

Record details

NPI number1114448271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Wertheim — Manager · (813) 347-9888
NPI enumeratedJune 29, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1011 S Green St, Thomaston, GA 30286-4643

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