NPIMap

Organization Active NPI

Lee County Health Care LLC

Doing business as Lee County Health and Rehabilitation

  • Skilled Nursing Facility
  • Leesburg, GA
National Provider Identifier
1144268681
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-088-1713 Issued in GA
Legal business name
LEE COUNTY HEALTH CARE LLC
Doing business as
Lee County Health and Rehabilitation
Practice address
214 Main St
Leesburg, GA 31763-3712
Phone
(229) 759-9236
Fax
(229) 759-9360
NPI assigned
Jun 4, 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
Joseph Johnston
Title
Administrator
Phone
(229) 759-9236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-088-1713 GA Primary

Addresses

Primary practice location

214 Main St
Leesburg, GA 31763-3712

Mailing address

PO Box 859
Leesburg, GA 31763-0859
Phone (229) 759-9236

Other identifiers 2

IdentifierTypeStateIssuer
51004264 001OtherBCBS
00712665AMedicaidGA

Other names 1

  • Lee County 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
O20040113000161 GA Part A Provider - Skilled Nursing Facility 5092622837 Practice locations: Leesburg, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144268681. Details of each certification follow.

Skilled nursing facility certification: CCN 115614

Legal name
LEE COUNTY HEALTH CARE LLC
Doing business as
LEE COUNTY HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 13, 1996
Last certification
May 2, 2025
Beds
60
Ownership / control type
Other Nonprofit
Multi-facility organization
Health Scholarships
Organization structure
LLCNon-profit
Incorporated
Jul 1, 2002 in GA
Enrollment address
214 Main St
Box 859
Leesburg, GA 31763-0859
Nursing home name
LEE COUNTY HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lee County Health and RehabilitationCCN 115614 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Aug 13, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6058.1 residents per day on average
Chain
Ethica Health50 facilities in the chain
Penalties (3 years)
2Fines totaling $16,800

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
11D0916981Lee County Health and Rehabilitation214 Main Street, Leesburg, GA 31763Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory

Locations

214 Main St
Leesburg, GA 31763
Phone (229) 759-9236

214 Main St
#859
Leesburg, GA 31763
Phone (229) 759-9236

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
Individual Adp of the SNF Jan 1, 2024
Joseph Johnston Individual Operational/Managerial Control Apr 9, 2023
Adp of the SNF Sep 3, 2025
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Jul 31, 2025
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 Jul 31, 2025
Organization, Gray, GA LLC, Non-profit Adp of the SNF May 18, 2023
Michael D Satchell Individual Operational/Managerial Control Apr 1, 2021
Adp of the SNF Jul 18, 2025
Stacey Hill Individual Operational/Managerial Control Jan 1, 2026
Managing Control - Governing BodyVice President of Operations Jan 1, 2026
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Jul 31, 2025
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Tiffany Talley Individual Operational/Managerial Control Aug 16, 2022
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Feb 19, 2009
Adp of the SNF Sep 3, 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 Oct 1, 2003 100%
Individual Adp of the SNF Jan 1, 2025
Organization, Macon, GA LLC, Non-profit Adp of the SNF Jul 31, 2025
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024
Individual Adp of the SNF Jan 2, 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.

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1144268681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 859",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317630859",
            "telephone_number": "229-759-9236",
            "fax_number": "229-759-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAIN ST",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317633712",
            "telephone_number": "229-759-9236",
            "fax_number": "229-759-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-759-9236"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-088-1713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51004264 001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00712665A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee County Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lee County Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, GA

Sources for this page

Verify at the official NPI Registry.