Organization Active NPI

Selectis Warrenton LLC

Doing business as Warrenton Health and Rehab

  • Skilled Nursing Facility
  • Warrenton, GA
National Provider Identifier
1124698816
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SELECTIS WARRENTON LLC
Doing business as
Warrenton Health and Rehab
Practice address
813 Atlanta Hwy
Warrenton, GA 30828-9105
Phone
(706) 465-3328
Fax
(706) 465-1119
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Christopher R Barker
Title
Manager
Phone
(303) 449-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

813 Atlanta Hwy
Warrenton, GA 30828-9105

Mailing address

813 Atlanta Hwy
Warrenton, GA 30828-9105
Phone (706) 465-3328

Other names 1

  • Warrenton 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
O20211006002279 GA Part A Provider - Skilled Nursing Facility 5395143259 Practice locations: Warrenton, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124698816. Details of each certification follow.

Skilled nursing facility certification: CCN 115321

Legal name
SELECTIS WARRENTON LLC
Doing business as
WARRENTON HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1984
Last certification
Feb 24, 2025
Beds
110
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Journey
Organization structure
LLCProprietary
Incorporated
Jan 28, 2021 in GA
Enrollment address
813 Atlanta Hwy
Warrenton, GA 30828-9105
Nursing home name
WARRENTON WOODS OF JOURNEY LLC
Affiliated entity
JOURNEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Warrenton Woods of Journey LLCCCN 115321 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11048.5 residents per day on average
Chain
Journey Healthcare32 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 20

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

NameRoleSinceShare
Shawn Kuhn Individual Operational/Managerial Control May 17, 2022
Adp of the SNF May 17, 2022
Adam a Desmond Individual Operational/Managerial Control Nov 1, 2023
Managing Control - Governing BodyCeo/Cfo Nov 1, 2023
Adp of the SNF Nov 1, 2023
Jamie Trost Individual Operational/Managerial Control Sep 8, 2022
Adp of the SNF Sep 8, 2022
Selectis Management LLC Organization, Greenwood Village, CO Corporation, Management services company, For-profit Operational/Managerial Control Jun 21, 2021
Adp of the SNF Dec 22, 2025
Michelle Hahner Individual Operational/Managerial Control Feb 13, 2023
Adp of the SNF Feb 13, 2023
Novetta Small Individual Operational/Managerial Control Mar 15, 2024
Adp of the SNF Mar 15, 2024
Lance Baller Individual Adp of the SNF Oct 1, 2015
Indirect Ownership Interest Jun 21, 2021 9.32%
Keron Campbell Individual Operational/Managerial Control Aug 19, 2025
Adp of the SNF Aug 19, 2025
Michael Todd Peacock Individual Operational/Managerial Control Jun 21, 2021
Adp of the SNF Jun 21, 2021
Individual Adp of the SNF Jun 21, 2021
Organization, Denver, CO LLC, For-profit Adp of the SNF Oct 1, 2012
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Nov 25, 2025
Mohamed Othman Individual Operational/Managerial Control Sep 8, 2025
Adp of the SNF Sep 8, 2025
Selectis Health Inc Organization, Greenwood Village, CO Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 21, 2021 100%
Adp of the SNF Oct 1, 2012
Organization, Louisville, KY Corporation, Medical provider/supplier, For-profit Adp of the SNF Dec 24, 2025
Krystal D Eckhart Individual Operational/Managerial Control Jun 21, 2021
Managing Control - Governing BodyVP of Revenue Nov 1, 2023
Adp of the SNF Jun 21, 2021
Sarah Day Individual Operational/Managerial Control Jul 26, 2021
Managing Control - Governing BodyVP Operations Nov 1, 2023
Adp of the SNF Jul 26, 2021
Organization, Princeton, NJ Corporation, Consulting firm, For-profit Adp of the SNF Dec 24, 2025
Sherry McCorkle Individual Operational/Managerial Control Sep 14, 2022
Adp of the SNF Sep 14, 2022
Laura Ferguson Individual Operational/Managerial Control Jun 12, 2023
Adp of the SNF Jun 12, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 7

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

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": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1124698816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 ATLANTA HWY",
            "city": "WARRENTON",
            "state": "GA",
            "postal_code": "308289105",
            "telephone_number": "706-465-3328",
            "fax_number": "706-465-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 ATLANTA HWY",
            "city": "WARRENTON",
            "state": "GA",
            "postal_code": "308289105",
            "telephone_number": "706-465-3328",
            "fax_number": "706-465-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIS WARRENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-449-2100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warrenton Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrenton, GA

Sources for this page

Verify at the official NPI Registry.