Organization Active NPI

Scepter Rehabilitation and Healthcare Center, LLC

  • Skilled Nursing Facility
  • Snellville, GA
National Provider Identifier
1700197472
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SCEPTER REHABILITATION AND HEALTHCARE CENTER, LLC
Practice address
3000 Lenora Church Rd
Snellville, GA 30078-3622
Phone
(770) 972-2040
Fax
(770) 985-3859
NPI assigned
Jun 28, 2010
Organization subpart
Yes
Parent organization
OLIVE LEAF, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Michelle D Meer
Title
Vice President & Secretary
Phone
(629) 626-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3000 Lenora Church Rd
Snellville, GA 30078-3622

Mailing address

3000 Lenora Church Rd
Snellville, GA 30078-3622
Phone (770) 972-2040

Other identifiers 1

IdentifierTypeStateIssuer
000169199AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1700197472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 LENORA CHURCH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783622",
            "telephone_number": "770-972-2040",
            "fax_number": "770-985-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LENORA CHURCH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783622",
            "telephone_number": "770-972-2040",
            "fax_number": "770-985-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCEPTER REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVE LEAF, LLC",
        "enumeration_date": "2010-06-28",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "629-626-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000169199A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.