OrganizationActive
Shane'S Crib
NPI 1386035335 · Substance Abuse Rehabilitation Facility · Jesup, GA
Provider details
- NPI number
- 1386035335
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Masa Take By Force Ministries
- Organization subpart
- Yes
- Authorized official
- Cheryl Mainor, Director(912) 385-2583
- License
- CSW003662 (GA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1303 South 1st Street
Jesup, GA 31545
Phone: (912) 385-2583
Fax: (912) 385-2583
Street-level locationGet directions
Mailing address
1303 S 1st St
Jesup, GA 31545-7757
Registry dates
- Enumerated
- 2015-02-12
- Last updated
- 2015-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.