SUNDANCE REHABILITATION
NPI 1932375763
Skilled Nursing Facility in Vidalia, GA

Active since May 01, 2008
1305 NORTHEAST MAIN STREET, VIDALIA, GA 30475(912) 537-4813(912) 537-6238 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sundance Rehabilitation NPPES

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

SUNDANCE REHABILITATION (NPI 1932375763) is a healthcare organization registered as a skilled nursing facility in Vidalia, Georgia and active in the NPI registry since May 2008. The organization lists Holly C Graham, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1932375763
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSUNDANCE REHABILITATION
Location Address1305 NORTHEAST MAIN STREETVidalia, GA 30475
Mailing AddressPo Box 464, 1305 Northeast Main StreetVidalia, GA 30475 · (912) 537-4813 · Fax (912) 537-6238
Fax(912) 537-6238
Organization SubpartNo
Authorized OfficialHolly C GrahamSpeech Language Pathologist · (912) 537-4813
Enumeration DateMay 1, 2008
NPI 1932375763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in GA · SLP006437
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License SLP006437 (GA)
1305 NORTHEAST MAIN STREET, Vidalia, GA 30475

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 Sundance Rehabilitation's NPI number?

The NPI number for Sundance Rehabilitation is 1932375763. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Sundance Rehabilitation located?

Sundance Rehabilitation is located at 1305 Northeast Main Street, Vidalia, GA 30475. The listed phone number is (912) 537-4813.

What is Sundance Rehabilitation's specialty?

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

When was this NPI record last updated?

The NPPES record for Sundance Rehabilitation was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.