NPIMap

Organization Active NPI

Candler County LTC LLC

Doing business as Azalea Health and Rehabilitation

  • Skilled Nursing Facility
  • Metter, GA
National Provider Identifier
1194758599
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-021-1900 Issued in GA
Legal business name
CANDLER COUNTY LTC LLC
Doing business as
Azalea Health and Rehabilitation
Practice address
300 Cedar St
Metter, GA 30439-4040
Phone
(912) 685-5734
Fax
(912) 685-3357
NPI assigned
Jul 9, 2006
Last updated
Feb 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Lynis Howell
Title
Administrator
Phone
(912) 685-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-021-1900 GA Primary

Addresses

Primary practice location

300 Cedar St
Metter, GA 30439-4040

Mailing address

PO Box 356
Metter, GA 30439-0356
Phone (912) 685-5734

Other identifiers 1

IdentifierTypeStateIssuer
000141963AMedicaidGA

Other names 1

  • Azalea 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
O20070410000188 GA Part A Provider - Skilled Nursing Facility 0547365140 Practice locations: Metter, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194758599. Details of each certification follow.

Skilled nursing facility certification: CCN 115642

Legal name
CANDLER COUNTY LTC, LLC
Doing business as
AZALEA HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1997
Last certification
May 19, 2024
Beds
89
Ownership / control type
Other Nonprofit
Multi-facility organization
Piedmont Regional Health, Inc.
Organization structure
LLCNon-profit
Enrollment address
300 Cedar St
Metter, GA 30439-4040
Nursing home name
AZALEA HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Azalea Health and RehabilitationCCN 115642 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Sep 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8974.7 residents per day on average
Chain
Ethica Health50 facilities in the chain
Penalties (3 years)
2Fines totaling $8,788

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
11D0672657Azalea Health and Rehabilitation300 Cedar Road, Metter, GA 30439Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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
Organization, Macon, GA LLC, Non-profit Adp of the SNF Jul 2, 2025
Organization, Metter, GA LLC, For-profit Adp of the SNF Jun 22, 1998
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Jul 2, 2025
Tiffany Peavy Individual Operational/Managerial Control Jan 1, 2026
Managing Control - Governing BodyVice President of Operations Jan 1, 2026
Individual Adp of the SNF Jan 1, 2025
Maulikkumar a Patel Individual Operational/Managerial Control Aug 1, 2023
Adp of the SNF Aug 1, 2023
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Individual Adp of the SNF Mar 19, 2025
Lynis Howell Individual Operational/Managerial Control Jul 23, 2018
Adp of the SNF Jul 1, 2025
Individual Adp of the SNF Jan 1, 2024
Samantha Lewis Individual Operational/Managerial Control Dec 15, 2023
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Oct 25, 2005
Adp of the SNF Jul 2, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 25, 2005 100%
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Jul 2, 2025
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Nov 1, 2025 100%
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Jul 2, 2025
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
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 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1194758599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304390356",
            "telephone_number": "912-685-5734",
            "fax_number": "912-685-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CEDAR ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304394040",
            "telephone_number": "912-685-5734",
            "fax_number": "912-685-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER COUNTY LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "LYNIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-685-5734"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-021-1900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000141963A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azalea Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metter, GA

Sources for this page

Verify at the official NPI Registry.