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SHANE'S CRIB
NPI 1386035335
Substance Abuse Rehabilitation Facility in Jesup, GA

Active since February 12, 2015
1303 SOUTH 1ST STREET, JESUP, GA 31545(912) 385-2583(912) 385-2583 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane's Crib NPPES

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

SHANE'S CRIB (NPI 1386035335) is a healthcare organization registered as a substance abuse rehabilitation facility in Jesup, Georgia and active in the NPI registry since February 2015. The organization lists Cheryl E Mainor, Director, as its authorized official.

NPPES Registry Identity

NPI1386035335
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSHANE'S CRIB
Location Address1303 SOUTH 1ST STREETJesup, GA 31545
Mailing Address1303 S 1st StJesup, GA 31545-7757 · (912) 385-2583 · Fax (912) 385-2583
Phone(912) 385-2583
Fax(912) 385-2583
Organization SubpartYesParent: Masa Take By Force Ministries
Authorized OfficialCheryl E MainorDirector · (912) 385-2583
Enumeration DateFebruary 12, 2015
✔ NPI 1386035335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in GA · CSW003662
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1303 SOUTH 1ST STREET, Jesup, GA 31545
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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 Shane's Crib's NPI number?

The NPI number for Shane's Crib is 1386035335. It was assigned to this organization in the NPPES registry on February 12, 2015.

Where is Shane's Crib located?

Shane's Crib is located at 1303 South 1st Street, Jesup, GA 31545. The listed phone number is (912) 385-2583.

What is Shane's Crib's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Shane's Crib was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.