Provider Demographics
NPI:1922740489
Name:ANDERSON MILL CENTER FOR NURSING AND HEALING LLC
Entity Type:Organization
Organization Name:ANDERSON MILL CENTER FOR NURSING AND HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, EMPIRE CARE CENTERS LLC
Authorized Official - Prefix:
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:E
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-737-0111
Mailing Address - Street 1:311 BLVD OF THE AMERICAS
Mailing Address - Street 2:SUITE 405
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:470-737-0111
Mailing Address - Fax:
Practice Address - Street 1:2130 ANDERSON MILL RD
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1806
Practice Address - Country:US
Practice Address - Phone:770-941-8813
Practice Address - Fax:770-941-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility