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Shady Grove Rest Home Inc
Skilled Nursing Facility in Kennesaw, Georgia
NPI 1538228648

Shady Grove Rest Home Inc is a Skilled Nursing Facility based in Kennesaw, GA. Shady Grove Rest Home Inc practices in Kennesaw, GA. The NPI Number for Shady Grove Rest Home Inc is 1538228648 and holds a License No. 10331268 (Georgia).

The current practice location address for Shady Grove Rest Home Inc is 1780 Old 41 Hwy Nw, Kennesaw, GA and can be reached out via phone at 770-427-7256 and via fax at 770-514-6831.

Location: 1780 Old 41 Hwy Nw, Kennesaw, GA, 30152-4428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538228648
Provider Name
Shady Grove Rest Home Inc
Credential
Provider Entity Type
Organization
Address
1780 Old 41 Hwy Nw, Kennesaw, GA, 30152-4428
Phone Number
770-427-7256
Fax Number
770-514-6831
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4645261 01 GA AETNA INSURANCE CO
00142942A 05 GA
7100156 01 GA EVERCARE UNITED HEALTHCAR
institution
Provider Business Practice Location Address Details
Address
1780 Old 41 Hwy Nw
City
Kennesaw
State
Georgia
Zip
30152-4428
Phone Number
770-427-7256
Fax Number
770-514-6831
person
Provider Business Mailing Address Details
Address
1780 Old 41 Hwy Nw
City
Kennesaw
State
Georgia
Zip
30152-4428
Phone Number
770-427-7256
Fax Number
770-514-6831
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
10331268 (Georgia)
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.
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