Active NPI
HLTC, Inc.
Doing business as Ridgewood Manor Health and Rehabilitation
- Skilled Nursing Facility
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1-155-1530
- Legal business name
- HLTC, INC.
- Doing business as
- Ridgewood Manor Health and Rehabilitation
- Practice address
- 1110 Burleyson Rd
Dalton, GA 30720-3016 - Phone
- (706) 226-1021
- Fax
- (706) 278-0619
- NPI assigned
- Jun 30, 2006
- Last updated
- Sep 25, 2018
- Organization subpart
- Yes
- Parent organization
- HLTC INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe Waters
- Title
- Administrator
- Phone
- (706) 226-1021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1-155-1530 | GA | Primary |
Addresses
Primary practice location
1110 Burleyson Rd
Dalton, GA 30720-3016
Mailing address
1110 Burleyson Rd
Dalton, GA 30720-3016
Phone (706) 226-1021
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51000924 001 | Other | BCBS | |
| 000142744A | Medicaid | GA |
Other names 1
- Ridgewood Manor Health and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090813000399 | GA | Part A Provider - Skilled Nursing Facility | 5991897613 | Practice locations: Dalton, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1184653677. Details of each certification follow.
Skilled nursing facility certification: CCN 115341
- Legal name
- HLTC INC
- Doing business as
- RIDGEWOOD MANOR HEALTH AND REHABILITITION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1987
- Last certification
- Mar 27, 2025
- Beds
- 102
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- HLTC, Inc
- Organization structure
- Corporation
- Incorporated
- Jul 11, 1997 in GA
- Enrollment address
- 1110 Burleyson Rd
Dalton, GA 30720-3016 - Nursing home name
- RIDGEWOOD MANOR HEALTH AND REHABILITATION
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Quinton Memorial Health Care & Rehabilitation Center
- Skilled Nursing Facility
- Dalton, GA
- NPI 1134165079
5991897613
-
dba Regency Park Health and Rehabilitation
- Skilled Nursing Facility
- Dalton, GA
- NPI 1477584886
5991897613
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ridgewood Manor Health and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 1, 1987
- Medicare certification status
- Active
- Certified beds
- 102
National Provider Directory
National Provider Directory- Tax ID family
- HLTC Inc
- Part of
- HLTC Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Quinton Memorial Health Care & Rehabilitation Center
- Skilled Nursing Facility
- Dalton, GA
- NPI 1134165079
-
dba Regency Park Health and Rehabilitation
- Skilled Nursing Facility
- Dalton, GA
- NPI 1477584886
Locations
1110 Burleyson Rd
Dalton, GA 30720
Phone (706) 226-1021
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Helen Yelena Ionashku | Corporate Director | Jul 9, 2018 | |
| W-2 Managing Employee | Jul 9, 2018 | ||
| HLTC Inc | 5% Or Greater Direct Ownership Interest | Jun 8, 2009 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Quinton Memorial Health Care & Rehabilitation Center
- Skilled Nursing Facility
- Dalton, GA
- NPI 1134165079
5% Or Greater Direct Ownership Interest
-
dba Regency Park Health and Rehabilitation
- Skilled Nursing Facility
- Dalton, GA
- NPI 1477584886
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Regency Park Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Jul 1, 2007 |
| Quinton Memorial Health and Rehabilitation | Skilled nursing facility | Operational/Managerial Control (100%) | Oct 1, 1997 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Quinton Memorial Health Care & Rehabilitation Center
- Skilled Nursing Facility
- Dalton, GA
- NPI 1134165079
Operational/Managerial Control
-
dba Regency Park Health and Rehabilitation
- Skilled Nursing Facility
- Dalton, GA
- NPI 1477584886
5% Or Greater Direct Ownership Interest
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Quinton Memorial Health Care & Rehabilitation Center
- Skilled Nursing Facility
- Dalton, GA
- NPI 1134165079
HLTC Inc
-
dba Regency Park Health and Rehabilitation
- Skilled Nursing Facility
- Dalton, GA
- NPI 1477584886
HLTC Inc
Practitioners & affiliated clinicians
Practitioners 3
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
- Canton, GA
- NPI 1003850322
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1982704300
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1376904292
Affiliated clinicians 2
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": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537833600000",
"number": "1184653677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 BURLEYSON RD",
"city": "DALTON",
"state": "GA",
"postal_code": "307203016",
"telephone_number": "706-226-1021",
"fax_number": "706-278-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 BURLEYSON RD",
"city": "DALTON",
"state": "GA",
"postal_code": "307203016",
"telephone_number": "706-226-1021",
"fax_number": "706-278-0619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HLTC, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HLTC INC",
"enumeration_date": "2006-06-30",
"last_updated": "2018-09-25",
"status": "A",
"authorized_official_last_name": "WATERS",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "706-226-1021"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "1-155-1530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51000924 001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000142744A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ridgewood Manor Health and Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ridgewood Manor Health and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dalton, GA
- Melissa Hill
- Sarah Nicole Hill, FNP-C
- Jack Hitchens, AU.D.
- Carla Lynn Hix, APRN
- HLTC, Inc. (Quinton Memorial Health Care & Rehabilitation Center)
- HLTC, Inc. (Regency Park Health and Rehabilitation)
- HLTC, Inc. (Wood Dale Health and Rehabilitation)
- Hunter Hobbs, PHARMD
- Linda Faye Hobbs, C.R.N.A.
- Fred Barry Hodges III, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.