NPIMap

Organization Active NPI

Jackson Ga Opco LLC

  • Skilled Nursing Facility
  • Jackson, GA
National Provider Identifier
1073192167
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JACKSON GA OPCO LLC
Practice address
922 McDonough Rd
Jackson, GA 30233-1522
Phone
(770) 775-7832
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Shlomo E Heller
Title
Ceo, Empire Care Centers LLC
Phone
(470) 737-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

922 McDonough Rd
Jackson, GA 30233-1522

Mailing address

922 McDonough Rd
Jackson, GA 30233-1522
Phone (770) 775-7832

Other names 1

  • Westbury Center of Jackson for Nursing and Healing Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211012001037 GA Part A Provider - Skilled Nursing Facility 0042618688 Practice locations: Jackson, GA

Skilled nursing facility certification: CCN 115563

Legal name
JACKSON GA OPCO LLC
Doing business as
WESTBURY CENTER OF JACKSON FOR NURSING AND HEALING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1994
Last certification
Feb 6, 2025
Beds
196
Ownership / control type
Corporation
Multi-facility organization
EMPIRE CARE CENTERS
Organization structure
LLCProprietary
Incorporated
Dec 28, 2020 in GA
Enrollment address
922 McDonough Rd
Jackson, GA 30233-1522
Nursing home name
WESTBURY CENTER OF JACKSON FOR NURSING AND HEALING
Affiliated entity
EMPIRE CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westbury Center of Jackson for Nursing and HealingCCN 115563
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
196189.5 residents per day on average
Chain
Empire Care Centers20 facilities in the chain
Penalties (3 years)
1Fines totaling $8,512

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
11D0918297Westbury Center of Jackson for Nursing and Healing922 McDonough Rd, Jackson, GA 30233Certificate of waiverAug 4, 2026

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
Jennifer N. Vasil Individual Operational/Managerial Control May 1, 2021
Ga4 Opco Holding LLC Organization, Lakewood, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2021
Operational/Managerial Control May 1, 2021
Shlomo E Heller Individual 5% Or Greater Indirect Ownership Interest May 1, 2021
Corporate Officer May 1, 2021
Operational/Managerial Control May 1, 2021
Ephraim Nussbaum Individual 5% Or Greater Indirect Ownership Interest May 1, 2021
Operational/Managerial Control May 1, 2021
Empire Care Centers LLC Organization, Brooklyn, NY Management services company Operational/Managerial Control May 1, 2021

Facilities with the same owner 18

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

View all 18

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 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": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1073192167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331522",
            "telephone_number": "770-775-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331522",
            "telephone_number": "770-775-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON GA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO, EMPIRE CARE CENTERS LLC",
        "authorized_official_telephone_number": "470-737-0111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Westbury Center of Jackson for Nursing and Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, GA

Sources for this page

Verify at the official NPI Registry.