CEDAR VALLEY NURSING & REHABILITATION CENTER
NPI 1093711277
Skilled Nursing Facility in Cedartown, GA

Active since June 22, 2005CLIA 11D0681203 · Waiver
225 S PHILPOT ST, CEDARTOWN, GA 30125(770) 748-4116(770) 748-2932 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cedar Valley Nursing & Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDAR VALLEY NURSING & REHABILITATION CENTER (NPI 1093711277) is a healthcare organization registered as a skilled nursing facility in Cedartown, Georgia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Mitchell Starer, Manager, as its authorized official.

NPPES Registry Identity

NPI1093711277
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHC - CEDAR VALLEY NURSING & REHAB CTR, LLC
Location Address225 S PHILPOT STCedartown, GA 30125-3021
Mailing Address225 S Philpot StCedartown, GA 30125-3021 · (770) 748-4116 · Fax (770) 748-2932
Fax(770) 748-2932
Organization SubpartNo
Authorized OfficialMitchell StarerManager · (914) 390-4300
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 21, 2014
NPI 1093711277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in GA · 11151752
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

225 S PHILPOT ST, Cedartown, GA 30125

Other Names 1

Doing Business AsCedar Valley Nursing & Rehabilitation Center

Other Identifiers 2

Medicaid00142557AGA
Medicare OSCAR/certification115436GA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0681203

Cedar Valley Nursing & Rehab Center · Cedartown, GA
Active · expires Jun 21, 2027
CLIA Number11D0681203
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorDr. Donald C. Evans
Laboratory Phone(770) 748-4116
Laboratory LocationCedar Valley Nursing & Rehab Center225 Philpot Street, Cedartown, GA 30125
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
225 S PHILPOT ST
CEDARTOWN, GA 30125
Occupational Therapy Assistant
225 S PHILPOT ST
CEDARTOWN, GA 30125
Skilled Nursing Facility
225 S PHILPOT ST
CEDARTOWN, GA 30125
Clinic/Center (Physical Therapy)
225 S PHILPOT ST
CEDARTOWN, GA 30125
Physical Therapy Assistant
225 S PHILPOT ST
CEDARTOWN, GA 30125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chc - Cedar Valley Nursing & Rehab Ctr, LLC's NPI number?

The NPI number for Chc - Cedar Valley Nursing & Rehab Ctr, LLC is 1093711277. It was assigned to this organization in the NPPES registry on June 22, 2005. The provider is doing business as Cedar Valley Nursing & Rehabilitation Center.

Where is Chc - Cedar Valley Nursing & Rehab Ctr, LLC located?

Chc - Cedar Valley Nursing & Rehab Ctr, LLC is located at 225 S Philpot St, Cedartown, GA 30125. The listed phone number is (770) 748-4116.

What is Chc - Cedar Valley Nursing & Rehab Ctr, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Chc - Cedar Valley Nursing & Rehab Ctr, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0681203) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chc - Cedar Valley Nursing & Rehab Ctr, LLC was last updated on March 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.