NPIMap

Organization Active NPI

LTC Consulting, L.P.

  • Skilled Nursing Facility
  • Conyers, GA
National Provider Identifier
1124004940
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-122-1567 Issued in GA
Legal business name
LTC CONSULTING, L.P.
Practice address
1510 Renaissance Dr NE
Conyers, GA 30012-3895
Phone
(770) 483-4480
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
James J Andrews
Title
President
Phone
(770) 992-0441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-122-1567 GA Primary

Addresses

Primary practice location

1510 Renaissance Dr NE
Conyers, GA 30012-3895

Mailing address

1510 Renaissance Dr NE
Conyers, GA 30012-3895
Phone (770) 483-4480

Other identifiers 2

IdentifierTypeStateIssuer
686513389AMedicaidGA
000838252AMedicaidGA

Other names 1

  • ROCKDALE HEALTHCARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627000741 GA Part A Provider - Skilled Nursing Facility 5496790719 Practice locations: Conyers, GA

Skilled nursing facility certification: CCN 115670

Legal name
LTC CONSULTING LP
Doing business as
ROCKDALE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 8, 2001
Last certification
Oct 31, 2024
Beds
103
Ownership / control type
Partnership
Organization structure
OtherProprietary
Incorporated
Dec 9, 2004 in GA
Enrollment address
1510 Renaissance Dr NE
Conyers, GA 30012-3895
Nursing home name
ROCKDALE HEALTHCARE CENTER
Affiliated entity
WELLINGTON HEALTH CARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rockdale Healthcare CenterCCN 115670
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jun 8, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10397.7 residents per day on average
Chain
Wellington Health Care Services14 facilities in the chain

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
11D0957851Rockdale Healthcare Center1510 Renaissance Drive, Conyers, GA 30012Certificate of waiverMar 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Andwell Investments, LLC Organization, Roswell, GA Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 10, 2012 99.99%
Elkins Road Associates LLC Organization, Roswell, GA LLC, For-profit General Partnership Interest Jul 31, 2007 0.01%
Moshe Kelman Individual Corporate OfficerCeo Jul 1, 2023 2%
Wellington Healthcare Services LP Organization, Roswell, GA For-profit 5% Or Greater Direct Ownership Interest Jul 31, 2007 99.99%
Limited Partnership Interest Jul 31, 2007 99.99%
James J Andrews Individual 5% Or Greater Indirect Ownership Interest Jan 10, 2012 100%
Corporate OfficerPresident of the Provider Jul 31, 2007
Corporate DirectorDirector of the Provider Jul 31, 2007
Operational/Managerial ControlPresident of the Provider Jul 31, 2007
Teresa Bailey Individual W-2 Managing EmployeeVP of Business Office Services Jul 1, 2023

Facilities with the same owner 13

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

View all 13

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": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1124004940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 RENAISSANCE DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123895",
            "telephone_number": "770-483-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RENAISSANCE DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123895",
            "telephone_number": "770-483-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC CONSULTING, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-992-0441"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-122-1567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686513389A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000838252A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKDALE HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.