Shady Grove Rest Home Inc
NPI 1538228648 · Skilled Nursing Facility · Kennesaw, GA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shady Grove Rest Home Inc is a Skilled Nursing Facility organization in Kennesaw, GA (NPI 1538228648).
Provider details
- NPI number
- 1538228648
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- James Ross, Administrator(770) 427-7256
- License
- 10331268 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Ross Memorial Health Care Center
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Shady Grove Rest Home Inc's NPI number?
- Shady Grove Rest Home Inc's National Provider Identifier (NPI) is 1538228648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Grove Rest Home Inc?
- Shady Grove Rest Home Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Shady Grove Rest Home Inc located?
- Shady Grove Rest Home Inc's practice location on file with NPPES is 1780 Old 41 Hwy Nw, Kennesaw, GA 30152-4428.
- What is Shady Grove Rest Home Inc's phone number?
- The practice phone number listed in the NPPES registry for Shady Grove Rest Home Inc is (770) 427-7256.
- Does Shady Grove Rest Home Inc accept Medicare?
- Shady Grove Rest Home Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shady Grove Rest Home Inc?
- The authorized official listed on Shady Grove Rest Home Inc's NPPES record is James Ross, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Grove Rest Home Inc's NPI active?
- Yes — Shady Grove Rest Home Inc's NPI (1538228648) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.