Active NPI
The Place at Martinez, LLC
- Skilled Nursing Facility
- Martinez, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE PLACE AT MARTINEZ, LLC
- Practice address
- 409 Pleasant Home Rd
Martinez, GA 30907-3523 - Phone
- (706) 863-6030
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. W. Melissa Oden
- Title
- Owner
- Phone
- (615) 585-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
409 Pleasant Home Rd
Martinez, GA 30907-3523
Mailing address
1615 Pennington Dr
Murfreesboro, TN 37129-5880
Phone (615) 585-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000142535A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111201000010 | GA | Part A Provider - Skilled Nursing Facility | 7911900535 | Practice locations: Augusta, GA |
Skilled nursing facility certification: CCN 115308
- Legal name
- THE PLACE AT MARTINEZ, LLC
- Doing business as
- THE PLACE AT MARTINEZ
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1983
- Last certification
- Jul 21, 2024
- Beds
- 100
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 409 Pleasant Home Rd
Augusta, GA 30907-3523 - Nursing home name
- PLACE AT MARTINEZ, THE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Place at Martinez, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1983
- Medicare certification status
- Active
- Certified beds
- 100
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0880296 | Place at Martinez LLC, the | Certificate of waiver | Dec 8, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- SC HMO
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Apr 2, 2025 | ||
| Adp of the SNF | Apr 1, 2025 | ||
| Adp of the SNF | May 12, 2025 | ||
| Adp of the SNF | May 12, 2025 | ||
| Adp of the SNF | Mar 24, 2025 | ||
| Adp of the SNF | Mar 24, 2025 | ||
| Jonathan E Reimer | Operational/Managerial Control | Jul 1, 2006 | |
| Adp of the SNF | Jul 1, 2006 | ||
| Adp of the SNF | Mar 24, 2025 | ||
| Wynee Melissa Oden | Operational/Managerial Control | Jul 1, 2006 | |
| Managing Control - Governing Body | May 1, 2015 | ||
| Adp of the SNF | May 28, 2015 | ||
| Direct Ownership Interest | Jul 1, 2006 | 75.5% | |
| Adp of the SNF | Apr 1, 2025 | ||
| Tina Hayes | Operational/Managerial Control | Apr 8, 2024 | |
| Adp of the SNF | Apr 8, 2024 | ||
| Thomas Bell | Direct Ownership Interest | Jul 1, 2006 | 24.5% |
| Adp of the SNF | May 28, 2015 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Augusta, GA
- NPI 1194784744
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Martinez, GA
- NPI 1093758724
-
- Geriatric Medicine (Family Medicine) Physician
- Augusta, GA
- NPI 1194784744
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Augusta, GA
- NPI 1194784744
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1013953611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 PENNINGTON DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371295880",
"telephone_number": "615-585-8444",
"fax_number": "615-848-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 PLEASANT HOME RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309073523",
"telephone_number": "706-863-6030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PLACE AT MARTINEZ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "ODEN",
"authorized_official_first_name": "W.",
"authorized_official_middle_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-585-4444",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000142535A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.