NPIMap

Organization Active NPI

Winthrop Manor Nursing Home LLC

Doing business as Winthrop Health and Rehabilitation

  • Skilled Nursing Facility
  • Rome, GA
National Provider Identifier
1093751976
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-057-1727 Issued in GA
Legal business name
WINTHROP MANOR NURSING HOME LLC
Doing business as
Winthrop Health and Rehabilitation
Practice address
12 Chateau Dr SE
Rome, GA 30161-7237
Phone
(706) 235-1422
Fax
(706) 236-9247
NPI assigned
Jun 21, 2006
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Walter Berrios Torres
Title
Administrator
Phone
(706) 235-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-057-1727 GA Primary

Addresses

Primary practice location

12 Chateau Dr SE
Rome, GA 30161-7237

Mailing address

12 Chateau Dr SE
Rome, GA 30161-7237
Phone (706) 235-1422

Other identifiers 2

IdentifierTypeStateIssuer
000143118AMedicaidGA
51000442 001OtherBCBS

Other names 1

  • Winthrop 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
O20030731000004 GA Part A Provider - Skilled Nursing Facility 2062323751 Practice locations: Rome, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093751976. Details of each certification follow.

Skilled nursing facility certification: CCN 115395

Legal name
WINTHROP MANOR NURSING HOME LLC
Doing business as
WINTHROP HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1989
Last certification
Jun 9, 2024
Beds
80
Ownership / control type
Other Nonprofit
Multi-facility organization
HEALTH SCHOLARSHIPS
Organization structure
LLCNon-profit
Enrollment address
12 Chateau Dr SE
Rome, GA 30161-7216
Nursing home name
WINTHROP HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Winthrop Health and RehabilitationCCN 115395 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jul 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8078.7 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

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
Individual Adp of the SNF Jan 1, 2024
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2025
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Oct 20, 2025
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Oct 20, 2025
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Oct 20, 2025
Wyatt K Blake Individual Operational/Managerial Control May 27, 2013
Adp of the SNF May 27, 2013
Walter Berrios Torres Individual Operational/Managerial Control Nov 25, 2022
Adp of the SNF Oct 29, 2025
Reno D Lambert Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDVP Sep 1, 2023
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Individual Adp of the SNF Jan 1, 2024
Stephanie Broome Individual Operational/Managerial Control Feb 13, 2023
Individual Adp of the SNF Jan 1, 2024
Organization, Gray, GA LLC, Non-profit Adp of the SNF Apr 1, 2013
Individual Adp of the SNF Jan 1, 2024
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Oct 1, 2003 100%
Adp of the SNF Oct 20, 2025
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 Apr 1, 2003 100%
Individual Adp of the SNF Jan 1, 2024
Organization, Macon, GA LLC, Non-profit Adp of the SNF Oct 20, 2025
Individual Adp of the SNF Sep 24, 2024
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1093751976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHATEAU DR SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301617237",
            "telephone_number": "706-235-1422",
            "fax_number": "706-236-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHATEAU DR SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301617237",
            "telephone_number": "706-235-1422",
            "fax_number": "706-236-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP MANOR NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "BERRIOS TORRES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-235-1422"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-057-1727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000143118A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51000442 001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winthrop Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winthrop Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.