SUNDANCE
NPI 1629312079
Skilled Nursing Facility in Marietta, GA

Active since November 23, 2012
145 COX FARM RD NW, MARIETTA, GA 30064(207) 992-6007 Get Directions Write a Review

NPPES record last updated: November 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sundance NPPES

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

SUNDANCE (NPI 1629312079) is a healthcare organization registered as a skilled nursing facility in Marietta, Georgia and active in the NPI registry since November 2012. The organization lists Shemily Mathew, Pt, as its authorized official.

NPPES Registry Identity

NPI1629312079
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSUNDANCE
Location Address145 COX FARM RD NWMarietta, GA 30064-5059
Mailing Address145 Cox Farm Rd NwMarietta, GA 30064-5059 · (207) 992-6007
Organization SubpartYesParent: No
Authorized OfficialShemily MathewPt · (207) 992-6007
Enumeration DateNovember 23, 2012
NPI 1629312079 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 · PT010530
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.

145 COX FARM RD NW, Marietta, GA 30064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629312079, enumerated as an "organization" on November 23, 2012.

The provider is located at 145 COX FARM RD NW MARIETTA, GA 30064 and the phone number is (207) 992-6007.

Skilled Nursing Facility with taxonomy code 314000000X.