LAKE CITY CENTER FOR NURSING AND HEALING LLC
NPI 1730053745
Skilled Nursing Facility in Lake City, GA

Active since October 02, 2025CLIA 11D1090379 · Waiver
2055 REX RD, LAKE CITY, GA 30260(404) 361-1028 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake City Center For Nursing And Healing Llc NPPES

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

LAKE CITY CENTER FOR NURSING AND HEALING LLC (NPI 1730053745) is a healthcare organization registered as a skilled nursing facility in Lake City, Georgia and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Shlomo E Heller, Member Of Llc, as its authorized official.

NPPES Registry Identity

NPI1730053745
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKE CITY CENTER FOR NURSING AND HEALING LLC
Location Address2055 REX RDLake City, GA 30260-3944
Mailing Address2055 Rex RdLake City, GA 30260-3944 · (404) 361-1028
Organization SubpartNo
Authorized OfficialShlomo E HellerMember Of Llc · (470) 737-0111
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1730053745 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.
2055 REX RD, Lake City, GA 30260

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 11D1090379

Lake City Center For Nursing And Healing LLC · Lake City, GA
Active · expires Oct 8, 2026
CLIA Number11D1090379
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorDr. Leanthony A. Hardy
Laboratory Phone(404) 361-1028
Laboratory LocationLake City Center For Nursing And Healing LLC2055 Rex Road, Lake City, GA 30260
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

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

Skilled Nursing Facility
2055 REX RD
LAKE CITY, GA 30260

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 Lake City Center For Nursing And Healing LLC's NPI number?

The NPI number for Lake City Center For Nursing And Healing LLC is 1730053745. It was assigned to this organization in the NPPES registry on October 2, 2025.

Where is Lake City Center For Nursing And Healing LLC located?

Lake City Center For Nursing And Healing LLC is located at 2055 Rex Rd, Lake City, GA 30260. The listed phone number is (404) 361-1028.

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

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

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

Yes. A Certificate of Waiver (number 11D1090379) is associated with this NPI, valid through October 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake City 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 10 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.