Organization Active NPI

Brightmoor Nursing Center, LLC

  • Skilled Nursing Facility
  • Griffin, GA
National Provider Identifier
1225701667
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BRIGHTMOOR NURSING CENTER, LLC
Practice address
3235 Newnan Rd
Griffin, GA 30223-7114
Phone
(770) 228-8599
Fax
(770) 228-6618
NPI assigned
Jul 30, 2021
Last updated
May 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Authorized official

Name
Mr. Howard Watson Reese III
Title
Chief Operations Officer
Phone
(678) 972-1644

Specialties & licenses 1

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

Addresses

Primary practice location

3235 Newnan Rd
Griffin, GA 30223-7114

Mailing address

3247 Newnan Rd
Griffin, GA 30223-7114
Phone (678) 972-1644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220520000493 GA Part A Provider - Skilled Nursing Facility 4183001761 Practice locations: Griffin, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225701667. Details of each certification follow.

Skilled nursing facility certification: CCN 115556

Legal name
BRIGHTMOOR NURSING CENTER, LLC
Doing business as
BRIGHTMOOR NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 1, 1993
Last certification
Nov 7, 2024
Beds
133
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
3235 Newnan Rd
Griffin, GA 30223-7114
Nursing home name
BRIGHTMOOR NURSING CENTER, LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brightmoor Nursing Center, LLCCCN 115556 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
133130.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
Kim Jones Individual Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023
Melady Alvarado Individual Operational/Managerial Control Sep 30, 2021
Adp of the SNF Sep 30, 2021
Brian Doherty Individual Adp of the SNF Sep 30, 2021
Indirect Ownership Interest Sep 30, 2021 6.41%
Organization, Dublin, GA LLC, Medical provider/supplier, For-profit Adp of the SNF Nov 3, 2025
Brent Parker Individual Operational/Managerial Control Sep 30, 2021
Adp of the SNF Sep 30, 2021
Organization, Arden, NC LLC, Medical provider/supplier, For-profit Adp of the SNF Nov 3, 2025
Randall West Individual Operational/Managerial ControlAdministrator Oct 15, 2025
Adp of the SNF Oct 15, 2025
Howard Reese Individual Operational/Managerial Control Sep 30, 2021
Managing Control - Governing BodySecretary/Treasurer Sep 30, 2021
Adp of the SNF Sep 30, 2021
Indirect Ownership Interest Sep 30, 2021 2.5%
Jaimie Trulove Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Individual Indirect Ownership Interest Sep 30, 2021 0.95%
John Lykouretzos Individual Adp of the SNF Sep 30, 2021
Indirect Ownership Interest Sep 30, 2021 87.16%
Hoplite Capital Strategies LLC - Brightmoor Series Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Sep 30, 2021
Indirect Ownership Interest Sep 30, 2021 95%
Individual Indirect Ownership Interest Sep 30, 2021 0.48%
Brightmoor Griffin Holdings LLC Organization, Griffin, GA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 30, 2021 100%
Mark Bradshaw Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Apr 1, 2024
Carla Harris Individual Operational/Managerial Control Apr 22, 2024
Adp of the SNF Apr 22, 2024
Hoplite Brightmoor Seniors LLC Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Sep 30, 2021
Indirect Ownership Interest Sep 30, 2021 100%
Shauna Hamby Individual Operational/Managerial Control Apr 22, 2024
Adp of the SNF Apr 22, 2024
William C Brown Individual Operational/Managerial Control Sep 30, 2021
Managing Control - Governing BodyPresident Sep 30, 2021
Adp of the SNF Sep 30, 2021
Indirect Ownership Interest Sep 30, 2021 2.5%
Organization, Griffin, GA LLC, For-profit Adp of the SNF Sep 30, 2021
Brightmoor Management Services LLC Organization, Griffin, GA LLC, Management services company, For-profit Operational/Managerial Control Sep 30, 2021
Adp of the SNF Nov 3, 2025
Organization, Portland, OR LLC, Consulting firm Adp of the SNF Jun 6, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1225701667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 NEWNAN RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237114",
            "telephone_number": "678-972-1644",
            "fax_number": "770-467-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 NEWNAN RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237114",
            "telephone_number": "770-228-8599",
            "fax_number": "770-228-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTMOOR NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "678-972-1644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.