Organization Active NPI

Jonesboro Center for Nursing and Healing LLC

  • Skilled Nursing Facility
  • Jonesboro, GA
National Provider Identifier
1104790112
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JONESBORO CENTER FOR NURSING AND HEALING LLC
Practice address
2650 Highway 138 E
Jonesboro, GA 30236-2744
Phone
(770) 473-4436
NPI assigned
Oct 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shlomo E Heller
Title
Member of LLC
Phone
(470) 737-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2650 Highway 138 E
Jonesboro, GA 30236-2744

Mailing address

2650 Highway 138 E
Jonesboro, GA 30236-2744
Phone (770) 473-4436

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1019484Jonesboro Center for Nursing and Healing LLC2650 Highway 138 South East, Jonesboro, GA 30236Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1104790112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 HIGHWAY 138 E",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362744",
            "telephone_number": "770-473-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 HIGHWAY 138 E",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362744",
            "telephone_number": "770-473-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESBORO CENTER FOR NURSING AND HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "470-737-0111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.