Organization Active NPI

C.R. of Autumn Breeze, LLC

Doing business as Autumn Breeze Health and Rehab

  • Skilled Nursing Facility
  • Marietta, GA
National Provider Identifier
1053797340
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
C.R. OF AUTUMN BREEZE, LLC
Doing business as
Autumn Breeze Health and Rehab
Practice address
1480 Sandtown Rd SW
Marietta, GA 30008-3821
Phone
(770) 442-1755
Fax
(770) 442-8784
NPI assigned
Aug 10, 2015
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Michael E Winget Sr.
Title
Member
Phone
(478) 994-3669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1480 Sandtown Rd SW
Marietta, GA 30008-3821

Mailing address

1480 Sandtown Rd SW
Marietta, GA 30008-3821
Phone (770) 442-1755

Other names 1

  • Autumn Breeze Health and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151125000956 GA Part A Provider - Skilled Nursing Facility 2365742251 Practice locations: Marietta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053797340. Details of each certification follow.

Skilled nursing facility certification: CCN 115580

Legal name
C.R. OF AUTUMN BREEZE, LLC
Doing business as
AUTUMN BREEZE HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1995
Last certification
Feb 6, 2025
Beds
109
Ownership / control type
Corporation
Multi-facility organization
Regional Health Properties
Organization structure
LLCProprietary
Incorporated
Jan 29, 2015 in GA
Enrollment address
1480 Sandtown Rd SW
Marietta, GA 30008-3821

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sandtown Health and RehabilitationCCN 115580 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10983.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
C. Ross Management LLC Organization, Juliette, GA LLC, Management services company, For-profit, Chain home office Adp of the SNF Mar 7, 2025
Individual Adp of the SNF Oct 1, 2015
Individual Adp of the SNF Oct 1, 2015
Carrol L Janes Individual Operational/Managerial Control Sep 1, 2023
Adp of the SNF Sep 1, 2023
Michael Eugene Winget Individual 5% Or Greater Direct Ownership Interest Oct 1, 2015 99%
Corporate OfficerManager Oct 1, 2015
Operational/Managerial ControlAuthorized Official Oct 1, 2015 99%
Adp of the SNF Oct 1, 2015
Organization, Juliette, GA LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Oct 1, 2015 1%
Organization, Smyrna, GA LLC, For-profit Adp of the SNF Feb 21, 2025
Organization, Juliette, GA LLC, Holding company, For-profit Adp of the SNF Oct 1, 2015
Organization, Juliette, GA LLC, For-profit Adp of the SNF Feb 21, 2025

Practitioners & affiliated clinicians

Practitioners 2

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": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1053797340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 SANDTOWN RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300083821",
            "telephone_number": "770-442-1755",
            "fax_number": "770-442-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 SANDTOWN RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300083821",
            "telephone_number": "770-442-1755",
            "fax_number": "770-442-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.R. OF AUTUMN BREEZE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "478-994-3669",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Breeze Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.