DOUGLASVILLE CENTER FOR NURSING AND HEALING LLC
NPI 1205700218
Skilled Nursing Facility in Douglasville, GA

Active since October 02, 2025CLIA 11D0645812 · Waiver
4028 HIGHWAY 5, DOUGLASVILLE, GA 30135(770) 942-7111 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Douglasville Center For Nursing And Healing Llc NPPES

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

DOUGLASVILLE CENTER FOR NURSING AND HEALING LLC (NPI 1205700218) is a healthcare organization registered as a skilled nursing facility in Douglasville, Georgia and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Shlomo E Heller, Member Of Llc, as its authorized official.

NPPES Registry Identity

NPI1205700218
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDOUGLASVILLE CENTER FOR NURSING AND HEALING LLC
Location Address4028 HIGHWAY 5Douglasville, GA 30135-3530
Mailing Address4028 Highway 5Douglasville, GA 30135-3530 · (770) 942-7111
Organization SubpartNo
Authorized OfficialShlomo E HellerMember Of Llc · (470) 737-0111
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1205700218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
4028 HIGHWAY 5, Douglasville, GA 30135

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 11D0645812

Douglasville Center For Nursing And Healing LLC · Douglasville, GA
Active · expires Aug 31, 2028
CLIA Number11D0645812
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. Leanthony A. Hardy
Laboratory Phone(770) 942-7111
Laboratory LocationDouglasville Center For Nursing And Healing LLC4028 Highway 5, Douglasville, GA 30135
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physical Therapist
4028 HIGHWAY 5
DOUGLASVILLE, GA 30135
Nurse Practitioner (Family)
4028 HIGHWAY 5
DOUGLASVILLE, GA 30135
Occupational Therapist
4028 HIGHWAY 5
DOUGLASVILLE, GA 30135
Nurse Practitioner (Family)
4028 HIGHWAY 5
DOUGLASVILLE, GA 30135
Skilled Nursing Facility
4028 HIGHWAY 5
DOUGLASVILLE, GA 30135
Nurse Practitioner
4028 HIGHWAY 5
DOUGLASVILLE, GA 30135

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 Douglasville Center For Nursing And Healing LLC's NPI number?

The NPI number for Douglasville Center For Nursing And Healing LLC is 1205700218. It was assigned to this organization in the NPPES registry on October 2, 2025.

Where is Douglasville Center For Nursing And Healing LLC located?

Douglasville Center For Nursing And Healing LLC is located at 4028 Highway 5, Douglasville, GA 30135. The listed phone number is (770) 942-7111.

What is Douglasville Center For Nursing And Healing LLC's specialty?

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

Does Douglasville Center For Nursing And Healing LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0645812) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Douglasville Center For Nursing And Healing LLC was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.