CHESTNUT RIDGE NURSING & REHAB CENTER
NPI 1801892070
Skilled Nursing Facility in Cumming, GA

Active since June 22, 2005CLIA 11D0256440 · Waiver
125 SAMARITAN DR, CUMMING, GA 30040(770) 889-0120(770) 887-5626 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chestnut Ridge Nursing & Rehab Center NPPES

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

CHESTNUT RIDGE NURSING & REHAB CENTER (NPI 1801892070) is a healthcare organization registered as a skilled nursing facility in Cumming, Georgia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mitchell Starer, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1801892070
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHC - CHESTNUT RIDGE NURSING & REHAB CTR, LLC
Location Address125 SAMARITAN DRCumming, GA 30040-2354
Mailing Address125 Samaritan DrCumming, GA 30040-2354 · (770) 889-0120 · Fax (770) 887-5626
Fax(770) 887-5626
Organization SubpartNo
Authorized OfficialMitchell StarerAuthorized Representative · (914) 390-4300
Enumeration DateJune 22, 2005
Last NPPES UpdateApril 17, 2014
NPI 1801892070 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 · 10581759
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.
125 SAMARITAN DR, Cumming, GA 30040

Other Names 1

Doing Business AsChestnut Ridge Nursing & Rehab Center

Other Identifiers 2

Medicare OSCAR/certification115423
Medicaid00228049AGA

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 11D0256440

Chestnut Ridge Nursing & Rehab · Cumming, GA
Active · expires Aug 31, 2026
CLIA Number11D0256440
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJaykrishna Thakorbhan Darji
Laboratory Phone(770) 889-0120
Laboratory LocationChestnut Ridge Nursing & Rehab125 Samaritan Drive, Cumming, GA 30040
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 Therapy Assistant
125 SAMARITAN DR
CUMMING, GA 30040
Occupational Therapist
125 SAMARITAN DR
CUMMING, GA 30040
Occupational Therapist
125 SAMARITAN DR
CUMMING, GA 30040
Physical Therapy Assistant
125 SAMARITAN DR
CUMMING, GA 30040
Speech-Language Pathologist
125 SAMARITAN DR
CUMMING, GA 30040
Skilled Nursing Facility
125 SAMARITAN DR
CUMMING, GA 30040

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 - Chestnut Ridge Nursing & Rehab Ctr, LLC's NPI number?

The NPI number for Chc - Chestnut Ridge Nursing & Rehab Ctr, LLC is 1801892070. It was assigned to this organization in the NPPES registry on June 22, 2005. The provider is doing business as Chestnut Ridge Nursing & Rehab Center.

Where is Chc - Chestnut Ridge Nursing & Rehab Ctr, LLC located?

Chc - Chestnut Ridge Nursing & Rehab Ctr, LLC is located at 125 Samaritan Dr, Cumming, GA 30040. The listed phone number is (770) 889-0120.

What is Chc - Chestnut Ridge Nursing & Rehab Ctr, LLC's specialty?

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

Does Chc - Chestnut Ridge Nursing & Rehab Ctr, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0256440) is associated with this NPI, valid through August 31, 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 Chc - Chestnut Ridge Nursing & Rehab Ctr, LLC was last updated on April 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.