MEDICARE: EAST COBB CENTER FOR NURSING AND HEALING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1063124766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST COBB CENTER FOR NURSING AND HEALING LLC

Provider Business Mailing Address
First Line	:	4360 JOHNSON FERRY PL
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-2063
Country	:	US
Telephone Number	:	770-971-5870
Fax Number	:

Provider Business Practice Location Address
First Line	:	4360 JOHNSON FERRY PL
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-2063
Country	:	US
Telephone Number	:	770-971-5870
Fax Number	:

Authorized Official
Title or Position	:	MEMBER OF LLC
Name	:	SHLOMO E HELLER
Credential	:
Telephone Number	:	470-737-0111

Provider Enumeration Date	:	12/14/2022
Last Update Date	:	11/25/2025

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