| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033410824 | | | | PHGG, LLC | 7444 LONG AVE | SKOKIE | IL | 600773214 |
| 1164961652 | | | | GEORGIAN GARDENS OPERATIONS MANAGEMENT LLC | 33 WEDGEWOOD LN | LAWRENCE | NY | 115591451 |
| 1710458864 | | | | GEORGIAN GARDENS OPCO, LLC | 14C 53RD ST STE 220 | BROOKLYN | NY | 112322644 |
| 1972265452 | | | | GEORGIAN GARDENS HEALTHCARE LLC | 110 ROCKAWAY TPKE STE 6 | LAWRENCE | NY | 115591626 |
| 1972597318 | | | | DEACONESS LONG TERM CARE OF MISSOURI, INC. | 440 LAFAYETTE AVE | CINCINNATI | OH | 452201022 |
| 1295276137 | NICHOLS | STACY | | | 7849 SAFFEL RD | BONNE TERRE | MO | 636283415 |