NPI age
11 years
Enumerated 2015-02-12
● Active Type 2 · Organization
Subpart
Shane'S Crib
Shane'S Crib is 1 of 148 substance abuse rehabilitation facility organizations in Georgia.
Primary specialty
Substance Abuse Rehabilitation Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mainor
Director
Last NPPES update
2015-02-12
Source: monthly bulk 2026-05
How this organization compares
Across 148 active substance abuse rehabilitation facility providers in Georgia.
NPI age
11 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1303 South 1st Street
Jesup, GA 31545
Mailing address
1303 S 1st St
Jesup, GA 315457757
Authorized official
Cheryl E Mainor, LPC
Director
📞 9123852583
Specialties
-
Substance Abuse Rehabilitation Facility PrimaryA 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.
Practice context
Single-site organization. Only one practice location on file.
Subpart of Masa Take By Force Ministries.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.