NPIMap

Organization Active NPI

460 Auburn Avenue, L.P.

Doing business as Legacy Transitional Care and Rehabilitation

  • Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1174909840
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
460 AUBURN AVENUE, L.P.
Doing business as
Legacy Transitional Care and Rehabilitation
Practice address
460 Auburn Ave NE
Atlanta, GA 30312-1504
Phone
(404) 523-1613
Fax
(404) 681-4536
NPI assigned
Aug 5, 2015
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Daren Douston
Title
Cfo
Phone
(404) 282-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X GA Primary

Addresses

Primary practice location

460 Auburn Ave NE
Atlanta, GA 30312-1504

Mailing address

3000 Old Alabama Rd Ste 119-403
Alpharetta, GA 30022-5860
Phone (404) 282-4755

Other names 1

  • Legacy Transitional Care 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
O20160419002562 GA Part A Provider - Skilled Nursing Facility 1153629480 Practice locations: Atlanta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174909840. Details of each certification follow.

Skilled nursing facility certification: CCN 115585

Legal name
460 AUBURN AVENUE LP
Doing business as
LEGACY TRANSITIONAL CARE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1995
Last certification
Apr 11, 2025
Beds
186
Ownership / control type
Corporation
Multi-facility organization
Well5 Associates
Organization structure
OtherProprietary
Incorporated
Jun 1, 2015 in GA
Enrollment address
460 Auburn Ave NE
Atlanta, GA 30312-1504
Nursing home name
LEGACY TRANSITIONAL CARE & REHABILITATION
Affiliated entity
WELLINGTON HEALTH CARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Legacy Transitional Care & RehabilitationCCN 115585 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
186182.6 residents per day on average
Chain
Wellington Health Care Services14 facilities in the chain
Penalties (3 years)
3Fines totaling $113,074

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
460 Auburn Avenue LP2 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.

Locations

3000 Old Alabama Rd
Ste 119403
Johns Creek, GA 30022

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Rewell Investments, LLC Organization, Roswell, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2015 50%
Wellington Healthcare, LLC Organization, Roswell, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2015 100%
Andwell Investments, LLC Organization, Roswell, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2015 50%
Wiii GP, LLC Organization, Roswell, GA LLC, For-profit General Partnership Interest Sep 1, 2015 0.01%
David Prescott Individual W-2 Managing EmployeeAdministrator May 14, 2018
Wellington Healthcare Services III, LP Organization, Roswell, GA For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2015 99.99%
Limited Partnership Interest Sep 1, 2015 99.99%
James J Andrews Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2015 50%
Corporate OfficerPresident Sep 1, 2015
Corporate DirectorDirector Sep 1, 2015
Operational/Managerial ControlPresident Sep 1, 2015
Other Sep 1, 2015
Heather Rees Individual 5% Or Greater Indirect Ownership Interest Jan 28, 2017 50%

Facilities with the same owner 12

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.

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": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1174909840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OLD ALABAMA RD STE 119-403",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225860",
            "telephone_number": "404-282-4755",
            "fax_number": "404-681-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 AUBURN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121504",
            "telephone_number": "404-523-1613",
            "fax_number": "404-681-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "460 AUBURN AVENUE, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "DOUSTON",
        "authorized_official_first_name": "DAREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-282-4755"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Transitional Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Transitional Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.