Southern Crescent Rehabilitation and Retirement Community, Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

075-004 Issued in GA

Legal business name

SOUTHERN CRESCENT REHABILITATION AND RETIREMENT COMMUNITY, INC

Practice address

2125 Highway 42 N
McDonough, GA 30253-4733

Phone

(678) 565-7710

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Omar El Sawi

Title

Ceo

Phone

(770) 378-9774

Specialties & licenses 1

Addresses

Other names 1

• Southern Crescent TBI Center Doing business as

Tax ID family

Southern Crescent Rehabilitation and Retirement Community Inc2 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.

• Southern Crescent Rehabilitation and Retirement Community, Inc

  • Home Health Agency
  • McDonough, GA
  • NPI 1043334782
  NPD tax ID

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1851530554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 HIGHWAY 42 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 HIGHWAY 42 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534733",
            "telephone_number": "678-565-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CRESCENT REHABILITATION AND RETIREMENT COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "EL SAWI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-378-9774"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "GA",
            "license": "075-004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Crescent TBI Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soulful Care Medical Solutions
• Source of Strength Professional Counseling, PC
• South Henry Dialysis LLC
• Southern Community Living
• Southern Crescent Rehabilitation and Retirement Community, Inc
• Southern Grace Healthcare
• Southern Grace Hospice and Palliative Care
• Farah Southwell, MS, LPC, CPCS
• Robert Sowell, M.S.
• Joselyn Spann

• Long Term Care Hospital in McDonough, GA
• Providers in McDonough, GA by specialty
• Long Term Care Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.