SHANE'S CRIB – NPI #1386035335
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

SHANE'S CRIB is a substance abuse rehabilitation facility located in JESUP, GA. NPPES has assigned the NPI number 1386035335 to SHANE'S CRIB on February 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANE'S CRIB below.

NPI Profile for
SHANE'S CRIB

NPI Number
1386035335
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHANE'S CRIB
Primary location
1303 SOUTH 1ST STREET
JESUP, GA 31545
Phone: (912) 385-2583 Fax: (912) 385-2583
Mailing address
1303 S 1ST ST
JESUP, GA 31545-7757
Phone: (912) 385-2583 Fax: (912) 385-2583
Organization Subpart
Yes - SHANE'S CRIB is subpart of another organization.
Authorized Official
CHERYL MAINOR
DIRECTOR
Phone: (912) 385-2583
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
GA CSW003662

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.