Lake City Center for Nursing and Healing LLC
Organization Active NPI Skilled Nursing Facility · Lake City, GA
NPI 1730053745 · NPPES record last updated Oct 2, 2025
Key facts
- NPI
- 1730053745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 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
- Organization subpart
- No
Authorized official
- Name
- Shlomo E Heller
- Title
- Member of LLC
- Phone
- (470) 737-0111
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1090379 | Lake City Center for Nursing and Healing LLC | Certificate of waiver | Oct 8, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2055 Rex Rd
Lake City, GA 30260-3944
Mailing address
2055 Rex Rd
Lake City, GA 30260-3944
Phone (404) 361-1028
Other providers in Lake City, GA
- Jocquelyn Le'Quon Hill
- Mamie Rochell Jinks
- Jobeey Home Care Services LLC
- Just Like Family of Ga., LLC
- Lacy Medical Services LLC
- Lake City Nursing and Rehabilitation Center, LLC
- Life Shield EMS
- Mediquip Rehabilitative Equipment and Supplies
- Members EMS
- Nicole Middlebrook
All providers in Lake City, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.