NPIMap

Organization Active NPI

Landmark Hospital of Savannah LLC

  • Long Term Care Hospital
  • Savannah, GA
National Provider Identifier
1023436102
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
LANDMARK HOSPITAL OF SAVANNAH LLC
Practice address
800 E 68TH St
Savannah, GA 31405-4710
Phone
(912) 298-1000
NPI assigned
Apr 4, 2014
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Lynne Bollinger, CPA
Title
Cfo
Phone
(573) 450-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X NU Primary

Addresses

Primary practice location

800 E 68TH St
Savannah, GA 31405-4710

Mailing address

PO Box 267
Jackson, MO 63755-0267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150729010119 GA Part A Provider - Hospital 0547480261 1 other NPI on this enrollment
Practice locations: Savannah, GA
O20151130001191 GA Part B Supplier - Clinic/Group Practice 0547480261 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Savannah, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023436102. Details of each certification follow.

Hospital certification: CCN 112018

Legal name
LANDMARK HOSPITAL OF SAVANNAH LLC
Certification status
Terminated Voluntary: merger or closure, Dec 9, 2025
Provider type (POS)
Hospital – Long-term
Participating since
Nov 26, 2014
Last certification
Nov 26, 2014
Beds
50
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
800 E 68TH Street
Savannah, GA 31405-4710
Other Hospital Practice Location
Hospital subgroups
Long-term

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tracy Larose Individual Corporate DirectorDirector, Revenue Cycle Management Mar 10, 2020
Landmark Holdings of Florida, LLC Organization, Naples, FL LLC 5% Or Greater Direct Ownership Interest Jan 6, 2012 99%
William K Kapp Individual 5% Or Greater Indirect Ownership Interest Jan 6, 2012 99%
Rebekah Palmatier Individual W-2 Managing Employee May 9, 2017
OtherProcess Development Manager May 9, 2017
Denise M Wayne Individual Corporate OfficerCeo Nov 3, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1023436102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637550267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 68TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054710",
            "telephone_number": "912-298-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK HOSPITAL OF SAVANNAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "BOLLINGER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-450-2530",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.