Provider Demographics
NPI:1528710704
Name:NHW OF GA LLC
Entity type:Organization
Organization Name:NHW OF GA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILCOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-562-8373
Mailing Address - Street 1:1115 CORINTH AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4949
Mailing Address - Country:US
Mailing Address - Phone:704-912-8005
Mailing Address - Fax:
Practice Address - Street 1:7805 WATERS AVE STE 7A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2444
Practice Address - Country:US
Practice Address - Phone:912-800-5674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty