OrganizationActive
Bulloch County Health Care LLC
NPI 1558355370 · Skilled Nursing Facility · Statesboro, GA
Provider details
- NPI number
- 1558355370
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Latasha Scott Herron, Administrator(912) 764-9011
- License
- 1-016-1767 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
307 Jones Mill Rd
Statesboro, GA 30458-4765
Phone: (912) 764-9011
Fax: (912) 764-8218
Street-level locationGet directions
Mailing address
307 Jones Mill Rd
Statesboro, GA 30458-4765
Other names (DBA / former)
- Doing business as
- Heritage Inn Health and Rehabilitation
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.