CHC - Chestnut Ridge Nursing & Rehab Ctr, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10581759 Issued in GA

Legal business name

CHC - CHESTNUT RIDGE NURSING & REHAB CTR, LLC

Doing business as

Chestnut Ridge Nursing & Rehab Center

Practice address

125 Samaritan Dr
Cumming, GA 30040-2354

Phone

(770) 889-0120

Fax

(770) 887-5626

NPI assigned

Jun 22, 2005

Last updated

Apr 17, 2014By 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

Mr. Mitchell Starer

Title

Authorized Representative

Phone

(914) 390-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chestnut Ridge Nursing & Rehab Center Doing business as

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

CLIA laboratory certificates

Tax ID family

CHC - Chestnut Ridge Nursing Rehab Ctr LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Chestnut Ridge Cypress LLC

  dba Chestnut Ridge Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Cumming, GA
  • NPI 1982025920
  NPD tax ID

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1801892070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SAMARITAN DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402354",
            "telephone_number": "770-889-0120",
            "fax_number": "770-887-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SAMARITAN DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402354",
            "telephone_number": "770-889-0120",
            "fax_number": "770-887-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC - CHESTNUT RIDGE NURSING & REHAB CTR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "STARER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "914-390-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10581759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00228049A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Ridge Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Chase, PA
• Callye Ann Chastain
• Kimberly Chastain, D.M.D.
• Chattahoochee Family Orthodontics
• Katherine Maria Chavarria
• Dane Blake Cheek
• Linda Linye Cheng, PHARMD
• John Cherian, M.D.
• Cherokee Rose Counseling & Consulting, LLC
• Rebecca Benson Cherry, M.ED, CCC-SLP

• Skilled Nursing Facility in Cumming, GA
• Providers in Cumming, 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 Apr 17, 2014; 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.