NPIMap

Organization Active NPI

Hart County Health & Rehabilitation, LLC

Doing business as Hartwell Health and Rehabilitation

  • Skilled Nursing Facility
  • Hartwell, GA
National Provider Identifier
1164849774
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-073-2038 Issued in GA
Legal business name
HART COUNTY HEALTH & REHABILITATION, LLC
Doing business as
Hartwell Health and Rehabilitation
Practice address
94 Cade St
Hartwell, GA 30643-1814
Phone
(706) 856-6982
Fax
(706) 856-6989
NPI assigned
Mar 20, 2014
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
Tanya Winfrey
Title
Administrator
Phone
(706) 856-6982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-073-2038 GA Primary

Addresses

Primary practice location

94 Cade St
Hartwell, GA 30643-1814

Mailing address

94 Cade St
Hartwell, GA 30643-1814
Phone (706) 856-6982

Other identifiers 1

IdentifierTypeStateIssuer
000141413AMedicaidGA

Other names 1

  • Hartwell 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
O20140528000391 GA Part A Provider - Skilled Nursing Facility 1850514555 Practice locations: Hartwell, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164849774. Details of each certification follow.

Skilled nursing facility certification: CCN 115435

Legal name
HART COUNTY HEALTH & REHABILITATION, LLC
Doing business as
HARTWELL HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1989
Last certification
Oct 24, 2024
Beds
92
Ownership / control type
Other Nonprofit
Multi-facility organization
HEALTH SCHOLARSHIPS
Organization structure
LLCNon-profit
Incorporated
May 19, 2014 in GA
Enrollment address
94 Cade Street
Hartwell, GA 30643-1814
Nursing home name
HARTWELL HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hartwell Health and RehabilitationCCN 115435 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Oct 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9281.1 residents per day on average
Chain
Ethica Health50 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
11D0713961Hartwell Health and Rehabilitation94 Cade Street, Hartwell, GA 30643Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hart County Health Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Allyn D Simmons Individual Operational/Managerial Control Mar 11, 2026
Adp of the SNF Mar 12, 2026
Dave a Ringer Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Jul 16, 2025
Reno D Lambert Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDivision Vice President Sep 1, 2023
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Dawn Buck Individual Operational/Managerial Control Nov 20, 2025
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Mar 26, 2014 100%
Adp of the SNF Jul 16, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 4, 2014 100%
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Jul 16, 2025
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Mar 26, 2014 100%
Organization, Macon, GA LLC, Non-profit Adp of the SNF Jul 16, 2025
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Organization, Gray, GA LLC, Non-profit Adp of the SNF Mar 31, 2014
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 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 50

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

View all 50

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": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1164849774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CADE ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431814",
            "telephone_number": "706-856-6982",
            "fax_number": "706-856-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CADE ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431814",
            "telephone_number": "706-856-6982",
            "fax_number": "706-856-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HART COUNTY HEALTH & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "WINFREY",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-856-6982"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-073-2038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000141413A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartwell Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hartwell Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartwell, GA

Sources for this page

Verify at the official NPI Registry.