Organization Active NPI

Correctlife Bostick, LLC

  • Nursing Facility/Intermediate Care Facility
  • Milledgeville, GA
National Provider Identifier
1043672819
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
CORRECTLIFE BOSTICK, LLC
Practice address
1 Bostick Cir
Milledgeville, GA 31062-7526
Phone
(770) 692-4750
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Carlo A Musso, MD
Title
President
Phone
(770) 692-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

1 Bostick Cir
Milledgeville, GA 31062-7526

Mailing address

3384 Peachtree Rd NE
Suite 700
Atlanta, GA 30326-1181
Phone (770) 692-4750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630000890 GA Part A Provider - Skilled Nursing Facility 4385936939 Practice locations: Milledgeville, GA

Skilled nursing facility certification: CCN 115732

Legal name
CORRECTLIFE BOSTICK, LLC
Doing business as
BOSTICK NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 31, 2017
Last certification
May 30, 2024
Beds
280
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Jan 18, 2012 in GA
Enrollment address
1700 Bostick Cir
Milledgeville, GA 31061-3941
Nursing home name
BOSTICK NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bostick Nursing CenterCCN 115732
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 31, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
280243.0 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
11D2119483Bostick Nursing Center1700 Bostick Circle, Milledgeville, GA 31061Certificate of waiverSep 27, 2026

National Provider Directory

National Provider Directory

Locations

3384 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (770) 626-5740

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Amro Amer Individual W-2 Managing EmployeeNursing Home Administrator Jul 15, 2016 25%
Stacy Blackburn Individual Operational/Managerial Control Jul 15, 2016
Lynn Junca Individual Operational/Managerial Control Jul 15, 2016
David C Vincent Individual Operational/Managerial Control Jul 15, 2016
Musso Triage 2016 Irrv, Carlo Musso Ttee Organization, Atlanta, GA 5% Or Greater Indirect Ownership Interest Jul 15, 2016 100%
Correctlife, Inc. Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 15, 2016 100%
Operational/Managerial Control Jul 15, 2016 75%
Carlo Musso Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2014 100%
Vero Health Management LLC Organization, Columbia, MD LLC, For-profit Operational/Managerial Control Oct 23, 2015

Practitioners & affiliated clinicians

Practitioners 1

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1043672819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 PEACHTREE RD NE",
            "address_2": "SUITE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261181",
            "telephone_number": "770-692-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTICK CIR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310627526",
            "telephone_number": "770-692-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTLIFE BOSTICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "MUSSO",
        "authorized_official_first_name": "CARLO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-692-4750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.