NPIMap

Organization Active NPI

Oakview Nursing & Rehabilitation Center LLC

Doing business as Oak View Health and Rehabilitation

  • Skilled Nursing Facility
  • Summerville, GA
National Provider Identifier
1053347674
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-027-1732 Issued in GA
Legal business name
OAKVIEW NURSING & REHABILITATION CENTER LLC
Doing business as
Oak View Health and Rehabilitation
Practice address
960 Highland Ave
Summerville, GA 30747-1930
Phone
(706) 857-4761
Fax
(706) 857-4230
NPI assigned
Jun 24, 2006
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Kimberly Cavin Bullard
Title
Administrator
Phone
(706) 857-4761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-027-1732 GA Primary

Addresses

Primary practice location

960 Highland Ave
Summerville, GA 30747-1930

Mailing address

PO Box 449
Summerville, GA 30747-0449
Phone (706) 857-4761

Other identifiers 2

IdentifierTypeStateIssuer
000142238AMedicaidGA
51043194 001OtherBCBS

Other names 1

  • Oak View Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030730000032 GA Part A Provider - Skilled Nursing Facility 0547171225 Practice locations: Summerville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053347674. Details of each certification follow.

Skilled nursing facility certification: CCN 115428

Legal name
OAKVIEW NURSING & REHABILITATION CENTER LLC
Doing business as
OAKVIEW HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1989
Last certification
Sep 12, 2024
Beds
151
Ownership / control type
Other Nonprofit
Multi-facility organization
Health Scholarship Inc
Organization structure
LLCNon-profit
Incorporated
Mar 13, 2003 in GA
Enrollment address
960 Highland Ave
Summerville, GA 30747-1930
Nursing home name
OAKVIEW HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oakview Health and RehabilitationCCN 115428 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Sep 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
151147.0 residents per day on average
Chain
Ethica Health50 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

960 Highland Ave
Summerville, GA 30747
Phone (706) 509-5115

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Kimberly S Bullard Individual Operational/Managerial Control Sep 1, 2023
Adp of the SNF Dec 2, 2025
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Dec 2, 2025
Wyatt K Blake Individual Operational/Managerial Control Jul 16, 2013
Adp of the SNF Jul 16, 2013
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Dec 2, 2025
Reno D Lambert Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDivision Vice President Sep 1, 2023
Organization, Macon, GA LLC, For-profit Adp of the SNF Jan 1, 1999
Individual Adp of the SNF Jan 1, 2024
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Organization, Macon, GA LLC, Holding company, Non-profit Adp of the SNF Dec 2, 2025
Individual Adp of the SNF Jan 1, 2024
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit Operational/Managerial Control Oct 1, 2003 100%
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Oct 1, 2003 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Mar 31, 2003 100%
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2025
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Dec 2, 2025
Susan Webb Individual Operational/Managerial Control Mar 18, 2024
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Sep 24, 2024
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024

Owners & managing parties with NPI records 2

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

Facilities with the same owner 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1053347674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307470449",
            "telephone_number": "706-857-4761",
            "fax_number": "706-857-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 HIGHLAND AVE",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307471930",
            "telephone_number": "706-857-4761",
            "fax_number": "706-857-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKVIEW NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CAVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-857-4761"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-027-1732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000142238A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51043194 001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak View Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, GA

Sources for this page

Verify at the official NPI Registry.