Life Care Centers of America, Inc.

Organization Active NPI Skilled Nursing Facility · Lawrenceville, GA

NPI 1295768950 · NPPES record last updated Jul 2, 2026

Key facts

NPI
1295768950
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
10671280 (GA)
Legal business name
LIFE CARE CENTERS OF AMERICA, INC.
Practice address
3850 Safehaven Dr
Lawrenceville, GA 30044-4042
Phone
(770) 923-0005
Fax
(770) 279-7067
NPI assigned
Jul 8, 2006
Organization subpart
No

Authorized official

Name
Cindy S. Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Owners & managing parties with NPI records 25

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 193

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 193

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Nursing home

Listed as
Life Care Center of Gwinnett CCN 115347
Overall star rating
★★★★☆ 4 of 5
Health inspections
★★★☆☆ 3 of 5
Staffing
★★★☆☆ 3 of 5
Quality measures
★★★★★ 5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 21, 1989
Medicare certification status
Active (Provider of Services file)
Certified beds
163 · 83.7 residents per day on average
Chain
Life Care Centers of America (194 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0257557Life Care Center of Gwinnett
3850 Safehaven Drive, Lawrenceville, GA 30044
Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Skilled nursing facility certification: CCN 115347

Legal name
LIFE CARE CENTERS OF AMERICA, INC.
Doing business as
LIFE CARE CENTER OF GWINNETT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 21, 1989
Last certification
Apr 10, 2025
Beds
163
Ownership / control type
Corporation
Organization structure
Corporation · Proprietary
Incorporated
Jan 6, 1976 in TN
Enrollment address
3850 Safehaven Dr
Lawrenceville, GA 30044-4042
Nursing home name
LIFE CARE CENTER OF GWINNETT
Affiliated entity
LIFE CARE CENTERS OF AMERICA

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Forrest L Preston
Individual
5% Or Greater Direct Ownership Interest
Chairman/Ceo
Jan 6, 1976 100%
Corporate Officer
Chairman/Ceo
Jan 6, 1976
Corporate Director
Director
Jan 6, 1976
Operational/Managerial Control Jan 6, 1976
Adp of the SNF Nov 29, 2001
Direct Ownership Interest Jan 6, 1976 100%
Terry Henry
Individual
Corporate Officer
Assistant Treasurer
Aug 16, 1999

Organization · Cleveland, TN
LLC, For-profit
Adp of the SNF Nov 29, 2001
Kirpich Joseph
Individual
Operational/Managerial Control Mar 27, 2012
Adp of the SNF Feb 27, 2025
Todd Fletcher
Individual
Corporate Officer
President
Nov 2, 2020
Corporate Director
Director
May 1, 2021
Operational/Managerial Control May 1, 2021
Aubrey Preston
Individual
Operational/Managerial Control Nov 27, 2024
Joan E Thurmond
Individual
Corporate Officer
Assistant Secretary
Sep 22, 2000
Cindy S Cross
Individual
Corporate Officer
VP/Asst. Secretary of Management Co
Apr 21, 1994
Richard Swanker
Individual
Corporate Officer
Chief Tax Officer
Apr 1, 2011
Corporate Director
Director
Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Life Care Centers of America, Inc.
Organization · Cleveland, TN
Corporation, For-profit
Operational/Managerial Control Oct 31, 1991
Adp of the SNF Nov 29, 2001
Virginia Bloomer
Individual
Operational/Managerial Control Jul 18, 2022
Managing Control - Governing Body
Director of Nursing
Jul 18, 2022
Lisa M Lay
Individual
Corporate Officer
Secretary
Feb 9, 2018
Corporate Director
Director
Apr 24, 2017
Operational/Managerial Control Apr 24, 2017
Christopher Cason
Individual
Operational/Managerial Control Jul 1, 2024
Managing Control - Governing Body
Administrator
Jul 1, 2024
Adp of the SNF Feb 27, 2025
James Ziegler
Individual
Corporate Officer
Vice President/Treasurer
Aug 16, 1999
Corporate Director
Director
Sep 18, 2001
Operational/Managerial Control Sep 18, 2001
Jennifer Solomon
Individual
Operational/Managerial Control May 1, 2019
Managing Control - Governing Body
Divisional Vice President
May 1, 2019

All facility ownership & control disclosures 193

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Life Care Center of New Port Richey
New Port Richey, FL · CCN 106049
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Oct 29, 2002
Mar 13, 2025
Life Care Center of Cape Girardeau
Cape Girardeau, MO · CCN 265185
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Sep 25, 2002
Feb 26, 2025
Life Care Center of Sullivan
Sullivan, MO · CCN 265340
Skilled nursing facility Operational/Managerial Control (100%) Sep 25, 2002
Life Care Center at Inverrary
Lauderhill, FL · CCN 106047
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Sep 25, 2002
Mar 11, 2025
The Oaks
New Bedford, MA · CCN 225328
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 1, 2003
Feb 11, 2025
Garden Terrace Healthcare Center of Federal Way
Federal Way, WA · CCN 505512
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jul 28, 2003
May 30, 2025
Life Care Center of Estero
Estero, FL · CCN 106057
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Oct 30, 2002
Mar 13, 2025
Life Care Center of Palm Bay
Palm Bay, FL · CCN 106060
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 2, 2003
Mar 17, 2025
Life Care Center of Morehead
Morehead, KY · CCN 185155
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (2%)
Jun 14, 2006
Mar 13, 2025
Jan 1, 1986
Life Care Center of Kansas City
Kansas City, KS · CCN 175281
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Mar 1, 1990
Mar 18, 2025
Life Care Center of Kona
Kailua Kona, HI · CCN 125052
Skilled nursing facility Operational/Managerial Control (100%) Aug 28, 2001
Cottesmore of Life Care
Gig Harbor, WA · CCN 505499
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Feb 1, 1996
Mar 18, 2025
Desert Cove Nursing Center
Chandler, AZ · CCN 035095
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Oct 1, 1988
Mar 18, 2025
Mi Casa Nursing Center
Mesa, AZ · CCN 035120
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Oct 1, 1988
Mar 27, 2025
Life Care Center of Longmont
Longmont, CO · CCN 065282
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Apr 11, 1989
Apr 1, 2025
Life Care Center of Plano
Plano, TX · CCN 455864
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Apr 7, 1989
Mar 28, 2025
Life Care Center of Carrollton
Carrollton, MO · CCN 265294
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Apr 19, 2000
Aug 31, 2000
Life Care Center of Bruceton-Hollow Rock
Bruceton, TN · CCN 445326
Skilled nursing facility Operational/Managerial Control (100%) Sep 8, 1993
Northwood Hills Care Center
Humansville, MO · CCN 265381
Skilled nursing facility Operational/Managerial Control (100%) Oct 31, 1999
Life Care Center of Aurora
Aurora, CO · CCN 065332
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Aug 15, 1994
Mar 13, 2025
Life Care Center of Auburn
Auburn, MA · CCN 225661
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 1, 1994
Mar 7, 2025
Life Care Center of Plymouth
Plymouth, MA · CCN 225666
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Nov 30, 1993
Mar 28, 2025
Life Care Center of Raynham
Raynham, MA · CCN 225655
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Nov 30, 1993
Mar 31, 2025
Life Care Center of West Bridgewater
West Bridgewater, MA · CCN 225704
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 1995
Mar 24, 2025
Life Care Center of Sparta
Sparta, TN · CCN 445421
Skilled nursing facility Operational/Managerial Control (100%) Mar 3, 2000
Wooldridge Place Nursing Center
Corpus Christi, TX · CCN 675637
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Dec 1, 1994
Apr 2, 2025
The Vosswood Nursing Center
Houston, TX · CCN 675080
Skilled nursing facility Operational/Managerial Control Dec 1, 1994
Garden Terrace Healthcare Center of Fort Worth
Fort Worth, TX · CCN 675650
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jan 1, 1997
Feb 27, 2025
Garden Terrace Alzheimers Center of Excellence
Houston, TX · CCN 675671
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 1997
Mar 3, 2025
Life Care Center of Idaho Falls
Idaho Falls, ID · CCN 135091
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 1, 1994
Mar 17, 2025
Life Care Center of Saint Louis
Saint Louis, MO · CCN 265610
Skilled nursing facility Operational/Managerial Control (100%) Mar 23, 1995
Life Care Center of South Las Vegas
Las Vegas, NV · CCN 295076
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Dec 1, 1997
Feb 25, 2025
Life Care Center of Treasure Valley
Boise, ID · CCN 135123
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 14, 1995
Mar 14, 2025
Life Care Center of Westminster
Westminster, CO · CCN 065358
Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 1997
Life Care Center of Stoneham
Stoneham, MA · CCN 225732
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Mar 25, 1996
Mar 25, 1996
Life Care Center of Coeur D' Alene
Coeur D Alene, ID · CCN 135122
Skilled nursing facility Operational/Managerial Control (100%) Jun 12, 1995
Life Care Center of Lewiston
Lewiston, ID · CCN 135128
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Oct 15, 1997
Feb 28, 2025
Life Care Center of Sandpoint
Sandpoint, ID · CCN 135127
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jan 1, 1998
Mar 24, 2025
Life Care Center of Mount Vernon
Mount Vernon, WA · CCN 505272
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 28, 1995
Mar 20, 2025
Life Care Center of Skagit Valley
Sedro Woolley, WA · CCN 505318
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1996
Mar 20, 2025
Life Care Center of Puyallup
Puyallup, WA · CCN 505324
Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 1996
Lakeside Health Cetner
West Palm Beach, FL · CCN 105268
Skilled nursing facility Operational/Managerial Control (100%) Mar 1, 1990
Parkview Nursing & Rehabilitation Center
Paducah, KY · CCN 185171
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Mar 1, 1990
Mar 4, 2025
Westchester House
Chesterfield, MO · CCN 265338
Skilled nursing facility Operational/Managerial Control (100%) Feb 5, 1990
Life Care Center of Elkhorn
Elkhorn, NE · CCN 285134
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 5, 1990
Mar 25, 2025
Life Care Center of Omaha
Omaha, NE · CCN 285137
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Mar 1, 1990
Mar 21, 2025
Life Care Center of Jacksonville
Jacksonville, FL · CCN 106064
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Apr 6, 2004
Mar 6, 2025
Life Care Center of Columbia
Columbia, SC · CCN 425337
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jun 1, 1993
Mar 13, 2025
Hale Anuenue Restorative Care Center
Hilo, HI · CCN 125045
Skilled nursing facility Operational/Managerial Control (100%) Sep 7, 1994
Life Care Center of Morgan County
Wartburg, TN · CCN 445239
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jul 23, 1979
Mar 20, 2025
Mayfair Village Nursing Care Center
Columbus, OH · CCN 365410
Skilled nursing facility General Partnership Interest (0.5%)
Operational/Managerial Control (100%)
Adp of the SNF
Dec 19, 2007
Dec 19, 2007
Mar 31, 2025
Ka Punawai Ola
Kapolei, HI · CCN 125051
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
May 1, 2000
Dec 2, 2025
Life Care Center of Collegedale
College Dale, TN · CCN 445294
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Mar 1, 1990
Mar 17, 2025
Life Care Center of Federal Way
Federal Way, WA · CCN 505188
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Feb 5, 1990
Mar 26, 2025
Alderwood Manor
Spokane, WA · CCN 505257
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Feb 5, 1990
Mar 24, 2025
Hallmark Manor
Federal Way, WA · CCN 505313
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Feb 5, 1990
Mar 24, 2025
Life Care Center of Punta Gorda
Punta Gorda, FL · CCN 105289
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Oct 27, 1982
Mar 13, 2025
Life Care Center of Pueblo
Pueblo, CO · CCN 065269
Skilled nursing facility Operational/Managerial Control (100%) Sep 20, 1989
Rivergate Terrace
Riverview, MI · CCN 235516
Skilled nursing facility Operational/Managerial Control (100%) Sep 1, 1988
Life Care Center of Wichita
Wichita, KS · CCN 175407
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Sep 12, 1996
Feb 25, 2025
Life Care Center of Farmington
Farmington, NM · CCN 325103
Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 1996
Life Care Center of the North Shore
Lynn, MA · CCN 225529
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Mar 28, 1990
Mar 10, 2025
Life Care Center of Wilbraham
Wilbraham, MA · CCN 225543
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jul 12, 1991
Mar 19, 2025
Life Care Center of Attleboro
Attleboro, MA · CCN 225564
Skilled nursing facility Operational/Managerial Control (100%) Oct 28, 1991
Life Care Center of Port Townsend
Port Townsend, WA · CCN 505306
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jun 1, 1996
Mar 10, 2025
Life Care Center of New Market
New Market, VA · CCN 495139
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Direct Ownership Interest (2%)
Jan 1, 2006
Mar 17, 2025
Jan 1, 1986
Payson Care Center
Payson, AZ · CCN 035117
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Nov 21, 1984
Mar 14, 2025
Life Care Center of Sierra Vista
Sierra Vista, AZ · CCN 035136
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jul 18, 1999
Feb 26, 2025
Garden Terrace Alzheimer'S Center of Excellence
Aurora, CO · CCN 065266
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Sep 17, 1989
Feb 21, 2025
Life Care Center of Elyria
Elyria, OH · CCN 366176
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 4, 1999
Mar 4, 2025
Life Care Center of McMinnville
McMinnville, OR · CCN 385171
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jun 14, 1996
Mar 19, 2025
Life Care Center of Elizabethton
Elizabethton, TN · CCN 445302
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Feb 5, 1990
Mar 20, 2025
Life Care Center of Brookfield
Brookfield, MO · CCN 265405
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Nov 30, 1999
Feb 6, 2025
Life Care Center of Waynesville
Waynesville, MO · CCN 265373
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 30, 1999
Mar 3, 2025
Life Care Center of Ocala
Ocala, FL · CCN 105999
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 2004
Aug 31, 2000
Life Care Center of Winter Haven
Winter Haven, FL · CCN 105792
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 3, 1999
Aug 31, 2000
Life Care Center of Reno
Reno, NV · CCN 295050
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Sep 1, 1991
Mar 20, 2025
Life Care Center of Melbourne
Melbourne, FL · CCN 105291
Skilled nursing facility Operational/Managerial Control Nov 29, 2000
The Gardens Court
Palm Beach Gardens, FL · CCN 105921
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Apr 28, 2005
Feb 26, 2025
Bridgeview Estates
Twin Falls, ID · CCN 135113
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Mar 31, 2000
Feb 20, 2025
Villa Manor Care Center
Lakewood, CO · CCN 065092
Skilled nursing facility Operational/Managerial Control (100%) Sep 8, 1983
Life Care Center of Littleton
Littleton, CO · CCN 065370
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Apr 8, 1998
May 12, 2026
Life Care Center of Greeley
Greeley, CO · CCN 065368
Skilled nursing facility Operational/Managerial Control (100%) Dec 1, 1997
Life Care Center of Scottsdale
Scottsdale, AZ · CCN 035143
Skilled nursing facility 5% Or Greater Direct Ownership Interest (90%)
Operational/Managerial Control
Adp of the SNF
Mar 1, 1985
Mar 1, 1985
Nov 2, 1986
Life Care Center of Cheyenne
Cheyenne, WY · CCN 535032
Skilled nursing facility Operational/Managerial Control (100%) Oct 18, 1988
Life Care Center of Medina
Medina, OH · CCN 365085
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Feb 1, 1988
Mar 25, 2025
Hickory House Nursing Home
Honey Brook, PA · CCN 395436
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
May 2, 1988
Apr 3, 2025
Life Care Center of Charleston
North Charleston, SC · CCN 425332
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Oct 22, 2004
Mar 5, 2025
Heritage Health Care Center
Globe, AZ · CCN 035141
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF
Sep 30, 2004
Feb 17, 2006
Jan 18, 2005
Life Care Center of Orange Park
Orange Park, FL · CCN 105928
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF
Sep 30, 2004
Feb 17, 2006
Jan 18, 2005
Life Care Center of Centerville
Centerville, TN · CCN 445252
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Oct 13, 2004
Mar 4, 2025
Lynchburg Nursing Center
Lynchburg, TN · CCN 445279
Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Oct 13, 2004
Mar 17, 2025
Life Care Center of Gray
Gray, TN · CCN 445479
Skilled nursing facility Operational/Managerial Control (100%) Mar 24, 2005
Life Care Center of Leominster
Leominster, MA · CCN 225038
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 30, 2005
Mar 13, 2025
The Highlands
Fitchburg, MA · CCN 225315
Skilled nursing facility Operational/Managerial Control Jun 30, 2005
Life Care Center of Kennewick
Kennewick, WA · CCN 505080
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
May 13, 2005
May 13, 2005
Oct 1, 2005
Life Care Center of Andover
Andover, KS · CCN 175157
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
May 13, 2005
May 13, 2005
Oct 1, 2005
Life Care Center of Lawrenceville
Lawrenceville, GA · CCN 115659
Skilled nursing facility Operational/Managerial Control (100%) Jan 3, 1995
Berkley Manor Care Center
Denver, CO · CCN 065223
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Apr 1, 2005
Apr 1, 2005
Oct 10, 2003
Life Care Center of Burlington
Burlington, KS · CCN 175373
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Apr 1, 2005
Apr 1, 2005
May 5, 2005

Showing 100 of 193 facilities.

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070714000249 GA Part a Provider - Skilled Nursing Facility 6608783543 Practice locations: Lawrenceville, GA

National Provider Directory

Tax ID family
Life Care Centers of America Inc (28 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10671280 GA Yes

Addresses

Primary practice location

3850 Safehaven Dr
Lawrenceville, GA 30044-4042

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers

IdentifierTypeStateIssuer
00370873AMedicaidGA

Other names

  • Life Care Center of Gwinnett Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Lawrenceville, GA

All providers in Lawrenceville, GA · Skilled Nursing Facility in Georgia

Sources for this page

Verify at the official NPI Registry.