Organization Active NPI

The Place at Martinez, LLC

  • Skilled Nursing Facility
  • Martinez, GA
National Provider Identifier
1013953611
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jul 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000142535AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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, theCCN 115308 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10073.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0880296Place at Martinez LLC, the409 Pleasant Home Road, Augusta, GA 30907Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory

Networks

  • 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.

NameRoleSinceShare
Organization, Springfield, MO Adp of the SNF Apr 2, 2025
Individual Adp of the SNF Apr 1, 2025
Organization, Augusta, GA LLC, For-profit Adp of the SNF May 12, 2025
Organization, Kennett Square, PA Medical provider/supplier, For-profit Adp of the SNF May 12, 2025
Organization, Macon, GA LLC, For-profit Adp of the SNF Mar 24, 2025
Organization, Augusta, GA LLC, Medical staffing company, For-profit Adp of the SNF Mar 24, 2025
Jonathan E Reimer Individual Operational/Managerial Control Jul 1, 2006
Adp of the SNF Jul 1, 2006
Organization, Columbia, SC LLC, For-profit Adp of the SNF Mar 24, 2025
Wynee Melissa Oden Individual Operational/Managerial Control Jul 1, 2006
Managing Control - Governing BodyPresident May 1, 2015
Adp of the SNF May 28, 2015
Direct Ownership Interest Jul 1, 2006 75.5%
Organization, Atlanta, GA Consulting firm, For-profit Adp of the SNF Apr 1, 2025
Tina Hayes Individual Operational/Managerial Control Apr 8, 2024
Adp of the SNF Apr 8, 2024
Thomas Bell Individual Direct Ownership Interest Jul 1, 2006 24.5%
Organization, Augusta, GA LLC, For-profit 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.