Active NPI
Selectis Warrenton LLC
Doing business as Warrenton Health and Rehab
- Skilled Nursing Facility
- Warrenton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 1984
- Medicare certification status
- Active
- Certified beds
- 110
- Chain
- Journey Healthcare
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shawn Kuhn | Operational/Managerial Control | May 17, 2022 | |
| Adp of the SNF | May 17, 2022 | ||
| Adam a Desmond | Operational/Managerial Control | Nov 1, 2023 | |
| Managing Control - Governing Body | Nov 1, 2023 | ||
| Adp of the SNF | Nov 1, 2023 | ||
| Jamie Trost | Operational/Managerial Control | Sep 8, 2022 | |
| Adp of the SNF | Sep 8, 2022 | ||
| Selectis Management LLC | Operational/Managerial Control | Jun 21, 2021 | |
| Adp of the SNF | Dec 22, 2025 | ||
| Michelle Hahner | Operational/Managerial Control | Feb 13, 2023 | |
| Adp of the SNF | Feb 13, 2023 | ||
| Novetta Small | Operational/Managerial Control | Mar 15, 2024 | |
| Adp of the SNF | Mar 15, 2024 | ||
| Lance Baller | Adp of the SNF | Oct 1, 2015 | |
| Indirect Ownership Interest | Jun 21, 2021 | 9.32% | |
| Keron Campbell | Operational/Managerial Control | Aug 19, 2025 | |
| Adp of the SNF | Aug 19, 2025 | ||
| Michael Todd Peacock | Operational/Managerial Control | Jun 21, 2021 | |
| Adp of the SNF | Jun 21, 2021 | ||
| Adp of the SNF | Jun 21, 2021 | ||
| Adp of the SNF | Oct 1, 2012 | ||
| Adp of the SNF | Nov 25, 2025 | ||
| Mohamed Othman | Operational/Managerial Control | Sep 8, 2025 | |
| Adp of the SNF | Sep 8, 2025 | ||
| Selectis Health Inc | 5% Or Greater Direct Ownership Interest | Jun 21, 2021 | 100% |
| Adp of the SNF | Oct 1, 2012 | ||
| Adp of the SNF | Dec 24, 2025 | ||
| Krystal D Eckhart | Operational/Managerial Control | Jun 21, 2021 | |
| Managing Control - Governing Body | Nov 1, 2023 | ||
| Adp of the SNF | Jun 21, 2021 | ||
| Sarah Day | Operational/Managerial Control | Jul 26, 2021 | |
| Managing Control - Governing Body | Nov 1, 2023 | ||
| Adp of the SNF | Jul 26, 2021 | ||
| Adp of the SNF | Dec 24, 2025 | ||
| Sherry McCorkle | Operational/Managerial Control | Sep 14, 2022 | |
| Adp of the SNF | Sep 14, 2022 | ||
| Laura Ferguson | 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.
-
- Internal Medicine Physician
- Eastman, GA
- NPI 1487636742
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Glen Eagle Healthcare and Rehab
- Skilled Nursing Facility
- Abbeville, GA
- NPI 1407375645
Selectis Health Inc, Selectis Management LLC
-
dba Eastman Healthcare & Rehab
- Skilled Nursing Facility
- Eastman, GA
- NPI 1205465879
Selectis Health Inc, Selectis Management LLC
-
dba Providence of Sparta Health and Rehab
- Skilled Nursing Facility
- Sparta, GA
- NPI 1225608912
Selectis Health Inc, Selectis Management LLC
-
dba Family Care Center of Fairland
- Skilled Nursing Facility
- Fairland, OK
- NPI 1740878859
Selectis Health Inc, Selectis Management LLC
-
dba Higher Call Nursing Center
- Skilled Nursing Facility
- Quapaw, OK
- NPI 1306455696
Selectis Health Inc, Selectis Management LLC
-
dba Southern Hills Rehabilitation Center
- Skilled Nursing Facility
- Tulsa, OK
- NPI 1801287982
Selectis Health Inc, Selectis Management LLC
-
dba Park Place Healthcare and Rehab
- Skilled Nursing Facility
- Oklahoma City, OK
- NPI 1770168627
Selectis Health Inc, Selectis Management LLC
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.
-
- Internal Medicine Physician
- Eastman, GA
- NPI 1487636742
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
- Jennifer Elaine Kearse, MACCCSLP
- Richard E Melcher, MD
- Peach Medical Management (Warrenton Health and Rehabilitation Center)
- Point of Need, Inc
- Richard Austin Sease
- Tender Heart Personal Care Home
- The Dollhouse Trap
- Julia Marie Veasey
- Warren County Board of Commissioners (Warren County Emergency Medical Services)
- Warren County Board of Education
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.