Provider Demographics
NPI:1548855240
Name:RINEHART, STEVEN JAMES
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:JAMES
Last Name:RINEHART
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 HEAD AVE
Mailing Address - Street 2:
Mailing Address - City:TALLAPOOSA
Mailing Address - State:GA
Mailing Address - Zip Code:30176-1259
Mailing Address - Country:US
Mailing Address - Phone:770-574-2362
Mailing Address - Fax:
Practice Address - Street 1:182 HEAD AVE
Practice Address - Street 2:
Practice Address - City:TALLAPOOSA
Practice Address - State:GA
Practice Address - Zip Code:30176-1259
Practice Address - Country:US
Practice Address - Phone:770-574-2362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12409311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home