Organization Active NPI

Stone Mountain Run of Journey LLC

  • Skilled Nursing Facility
  • Stone Mountain, GA
National Provider Identifier
1154157352
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STONE MOUNTAIN RUN OF JOURNEY LLC
Practice address
5160 Springview Ave
Stone Mountain, GA 30083-1616
Phone
(770) 498-4144
Fax
(770) 498-4255
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Bernard J McGuinness III
Title
Officer
Phone
(463) 278-0868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5160 Springview Ave
Stone Mountain, GA 30083-1616

Mailing address

5160 Springview Ave
Stone Mountain, GA 30083-1616
Phone (770) 498-4144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250523002619 GA Part A Provider - Skilled Nursing Facility 0941729743 Practice locations: Stone Mountain, GA

Skilled nursing facility certification: CCN 115565

Legal name
STONE MOUNTAIN RUN OF JOURNEY LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 7, 1994
Last certification
Mar 20, 2025
Beds
149
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Journey Healthcare
Organization structure
LLCProprietary
Enrollment address
5160 Springview Ave
Stone Mountain, GA 30083-1616
Nursing home name
STONE MOUNTAIN RUN OF JOURNEY LLC
Affiliated entity
JOURNEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stone Mountain Run of Journey LLCCCN 115565
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 7, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
149143.1 residents per day on average
Chain
Journey Healthcare32 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
11D0882521Stone Mountain Run5160 Springview Avenue, Stone Mountain, GA 30083Certificate of waiverFeb 8, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Blue Ocean Trust Organization, Boca Raton, FL For-profit Indirect Ownership Interest Nov 1, 2024 31.7%
Nikki Sillings Individual Operational/Managerial Control Jan 13, 2025
Adp of the SNF Jan 13, 2025
Ajoj Holdings LLC Organization, Boca Raton, FL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2024 33.33%
Leah Walker Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Jody Omara Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Journey Ox Ga Management LLC Organization, Noblesville, IN LLC, Management services company, Chain home office Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Shasam Holdings LLC Organization, Boca Raton, FL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2024 33.33%
Teresa Brown Individual Operational/Managerial Control Jul 7, 2025
Adp of the SNF Jul 7, 2025
Antonio Jones Individual Operational/Managerial Control Nov 18, 2024
Adp of the SNF Nov 18, 2024
Matthew L Trammell Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Jennifer Johnson Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Bernard J McGuinness Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Indirect Ownership Interest Nov 1, 2024 1.63%
Summit Stone Mountain LLC Organization, Lake Forest, CA LLC, For-profit Adp of the SNF Nov 1, 2024
Journey Ox Ga Healthcare Holdings LLC Organization, Noblesville, IN LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2024 100%
Tamara Gentles Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
3 Bees Holdings LLC Organization, Noblesville, IN LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2024 33.3%
Cameron Conrad Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Shasam Family Trust Organization, Boca Raton, FL For-profit Indirect Ownership Interest Nov 1, 2024 31.7%
Catherine Oyatayo Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Terence Frinks Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Journey Ox of Ga LLC Organization, Noblesville, IN LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Nov 1, 2024 100%
Richard Bilbo Individual Operational/Managerial Control Nov 20, 2024
Adp of the SNF Nov 20, 2024
Bees Family Irrevocable Trust Organization, Carmel, IN For-profit Indirect Ownership Interest Nov 1, 2024 31.7%

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 8

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.

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": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1154157352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 SPRINGVIEW AVE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831616",
            "telephone_number": "770-498-4144",
            "fax_number": "770-498-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 SPRINGVIEW AVE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831616",
            "telephone_number": "770-498-4144",
            "fax_number": "770-498-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE MOUNTAIN RUN OF JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "MCGUINNESS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "463-278-0868",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.