Immanuel House Personal Care Home, LLC
NPI 1205514445 · Licensed Practical Nurse · Mount Vernon, GA
Immanuel House Personal Care Home, LLC is a Licensed Practical Nurse organization in Mount Vernon, GA (NPI 1205514445).
Provider details
- NPI number
- 1205514445
- Entity type
- Organization
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Wiggs, Director(740) 600-0004
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Immanuel House Personal Care Home, LLC
Registry dates
- Enumerated
- 2023-07-07
- Last updated
- 2023-07-07
- Certified
- 2023-06-30
Frequently asked questions
- What is Immanuel House Personal Care Home, LLC's NPI number?
- Immanuel House Personal Care Home, LLC's National Provider Identifier (NPI) is 1205514445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immanuel House Personal Care Home, LLC?
- Immanuel House Personal Care Home, LLC is classified in the NPPES registry as Licensed Practical Nurse (Nursing Service Providers).
- Where is Immanuel House Personal Care Home, LLC located?
- Immanuel House Personal Care Home, LLC's practice location on file with NPPES is 422 N Washington Street, Mount Vernon, GA 30445.
- What is Immanuel House Personal Care Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for Immanuel House Personal Care Home, LLC is (740) 600-0004.
- Who is the authorized official for Immanuel House Personal Care Home, LLC?
- The authorized official listed on Immanuel House Personal Care Home, LLC's NPPES record is Kimberly Wiggs, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immanuel House Personal Care Home, LLC's NPI active?
- Yes — Immanuel House Personal Care Home, LLC's NPI (1205514445) is active in the NPPES registry as of the last update on 2023-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.