Lcs Brandon Wilde LLC
NPI 1821580440 · Skilled Nursing Facility · Evans, GA
Lcs Brandon Wilde LLC is a Skilled Nursing Facility organization in Evans, GA (NPI 1821580440).
Provider details
- NPI number
- 1821580440
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Diane Bridgewater, Manager of Managing Member(515) 875-4500
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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)
- Doing business as
- The Pavilion at Brandon Wilde
Registry dates
- Enumerated
- 2018-05-30
- Last updated
- 2019-06-19
Frequently asked questions
- What is Lcs Brandon Wilde LLC's NPI number?
- Lcs Brandon Wilde LLC's National Provider Identifier (NPI) is 1821580440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lcs Brandon Wilde LLC?
- Lcs Brandon Wilde LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lcs Brandon Wilde LLC located?
- Lcs Brandon Wilde LLC's practice location on file with NPPES is 4275 Owens Rd, Evans, GA 30809.
- What is Lcs Brandon Wilde LLC's phone number?
- The practice phone number listed in the NPPES registry for Lcs Brandon Wilde LLC is (706) 868-9800.
- Who is the authorized official for Lcs Brandon Wilde LLC?
- The authorized official listed on Lcs Brandon Wilde LLC's NPPES record is Diane Bridgewater, Manager of Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lcs Brandon Wilde LLC's NPI active?
- Yes — Lcs Brandon Wilde LLC's NPI (1821580440) is active in the NPPES registry as of the last update on 2019-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.