C.R. of Wildwood, LLC
Organization Active NPI Skilled Nursing Facility · Talking Rock, GA
NPI 1235528357 · NPPES record last updated Jan 13, 2015
Key facts
- NPI
- 1235528357
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- C.R. OF WILDWOOD, LLC
- Practice address
- 184 Pinhook Rd
Talking Rock, GA 30175-3495 - Phone
- (706) 692-6014
- Fax
- (706) 692-6695
- NPI assigned
- Jan 13, 2015
- Organization subpart
- No
Authorized official
- Name
- Michael E Winget Sr.
- Title
- Member
- Phone
- (478) 994-3669
Owners & managing parties with NPI records 1
-
Horace Lee Cline, M.D.
Practitioners 1
-
Horace Lee Cline, M.D.
Affiliated clinicians 1
-
Horace Lee Cline, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Wildwood Health and Rehab
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 1, 2005
- Medicare certification status
- Active
- Certified beds
- 44 · 38.8 residents per day on average
- Chain
- C. Ross Management
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Skilled nursing facility certification: CCN 115706
- Legal name
- C.R. OF WILDWOOD, LLC
- Doing business as
- WILDWOOD HEALTH AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 2005
- Last certification
- Dec 22, 2024
- Beds
- 44
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Rivoli Healthcare Consultants
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 22, 2014 in GA
- Enrollment address
- 184 Pinhook Rd
Talking Rock, GA 30175-3495 - Nursing home name
- WILDWOOD HEALTH AND REHAB
- Affiliated entity
- C. ROSS MANAGEMENT
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| C. Ross Management LLC |
Adp of the SNF | Feb 28, 2025 | |
| |
Adp of the SNF | Feb 12, 2025 | |
| |
Adp of the SNF | Sep 1, 2023 | |
| North Mountain Property Holdings LLC |
5% Or Greater Mortgage Interest | Sep 1, 2023 | 100% |
| Adp of the SNF | Sep 1, 2023 | ||
| |
Direct Ownership Interest | Feb 1, 2015 | 1% |
| |
Adp of the SNF | Sep 1, 2023 | |
| Elizabeth K. Oberly |
Operational/Managerial Control | Jan 16, 2023 | |
| Adp of the SNF | Jan 16, 2023 | ||
| |
Adp of the SNF | Sep 1, 2023 | |
| Michael Eugene Winget |
5% Or Greater Direct Ownership Interest | Feb 1, 2015 | 99% |
| Corporate Officer |
Feb 1, 2015 | ||
| Operational/Managerial Control | Feb 1, 2015 | ||
| Adp of the SNF | Feb 1, 2015 | ||
| Horace L Cline |
Operational/Managerial Control | Nov 27, 2023 | |
| Adp of the SNF | Nov 27, 2023 | ||
| |
Adp of the SNF | Sep 1, 2023 | |
| |
Adp of the SNF | Feb 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150224001615 | GA | Part a Provider - Skilled Nursing Facility | 4183940836 | Practice locations: Talking Rock, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
184 Pinhook Rd
Talking Rock, GA 30175-3495
Mailing address
184 Pinhook Rd
Talking Rock, GA 30175-3495
Phone (706) 692-6014
Other names
- Wildwood Health and Rehab
Other providers in Talking Rock, GA
- Alison Carroll
- Louise Wood Hamrick
- Ashley Nelson
- North Georgia Personal Care LLC
- North Georgia Play Therapy
All providers in Talking Rock, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.