DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHESTNUT RIDGE CYPRESS LLC

MEDICARE: CHESTNUT RIDGE CYPRESS 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1982025920
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESTNUT RIDGE CYPRESS LLC
Provider Business Mailing Address
First Line : 125 SAMARITAN DR
Second Line :
City : CUMMING
State : GA
Zip : 30040-2354
Country : US
Telephone Number : 770-889-0120
Fax Number :
Provider Business Practice Location Address
First Line : 125 SAMARITAN DR
Second Line :
City : CUMMING
State : GA
Zip : 30040-2354
Country : US
Telephone Number : 770-889-0120
Fax Number :
Authorized Official
Title or Position : CFO
Name : ISAAC Y OVITS
Credential :
Telephone Number : 845-694-6055
Provider Enumeration Date : 12/18/2013
Last Update Date : 01/19/2022

Similar Medicare Providers

1801892070 — CHC - CHESTNUT RIDGE NURSING & REHAB CTR, LLC
Practice Location Address:
125 SAMARITAN DR
CUMMING, GA
30040-2354
Practice Phone: 770-889-0120
Practice Fax: 770-887-5626
1952725467 — MARGUERITE TORRENGA MA
Practice Location Address:
125 SAMARITAN DR
CUMMING, GA
30040-2354
Practice Phone: 978-491-7008
Practice Fax:
1790254464 — KRISTEN M ELLISON
Practice Location Address:
125 SAMARITAN DR
CUMMING, GA
30040-2354
Practice Phone: 352-356-1603
Practice Fax:
1861087017 — MR. COLBY WALKER PTA
Practice Location Address:
125 SAMARITAN DR
CUMMING, GA
30040-2354
Practice Phone: 770-889-0120
Practice Fax:
1205413507 — CHEVIS M JACKSON
Practice Location Address:
125 SAMARITAN DR
CUMMING, GA
30040-2354
Practice Phone: 770-889-1644
Practice Fax:
1538996046 — MADISON ABIGAIL LANE OTD, OTR/L
Practice Location Address:
125 SAMARITAN DR
CUMMING, GA
30040-2354
Practice Phone: 770-889-0120
Practice Fax:

Directions to “CHESTNUT RIDGE CYPRESS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.