Lake City Center for Nursing and Healing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE CITY CENTER FOR NURSING AND HEALING LLC

Practice address

2055 Rex Rd
Lake City, GA 30260-3944

Phone

(404) 361-1028

NPI assigned

Oct 2, 2025

Last updated

Oct 2, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

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

CLIA laboratory certificates

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": "1730053745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 REX RD",
            "city": "LAKE CITY",
            "state": "GA",
            "postal_code": "302603944",
            "telephone_number": "404-361-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 REX RD",
            "city": "LAKE CITY",
            "state": "GA",
            "postal_code": "302603944",
            "telephone_number": "404-361-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY 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": []
}

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• Life Shield EMS
• Mediquip Rehabilitative Equipment and Supplies
• Members EMS
• Nicole Middlebrook, EMT-I

• Skilled Nursing Facility in Lake City, GA
• Providers in Lake City, GA by specialty
• Skilled Nursing Facility in Georgia

• 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.