Organization Active NPI

C.R. of Wildwood, LLC

Doing business as Wildwood Health and Rehab

  • Skilled Nursing Facility
  • Talking Rock, GA
National Provider Identifier
1235528357
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
C.R. OF WILDWOOD, LLC
Doing business as
Wildwood Health and Rehab
Practice address
184 Pinhook Rd
Talking Rock, GA 30175-3495
Phone
(706) 692-6014
Fax
(706) 692-6695
NPI assigned
Jan 13, 2015
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Michael E Winget Sr.
Title
Member
Phone
(478) 994-3669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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 1

  • Wildwood Health and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150224001615 GA Part A Provider - Skilled Nursing Facility 4183940836 Practice locations: Talking Rock, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235528357. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wildwood Health and RehabCCN 115706 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
4438.8 residents per day on average
Chain
C. Ross Management5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
C. Ross Management LLC Organization, Juliette, GA LLC, Consulting firm, For-profit, Chain home office Adp of the SNF Feb 28, 2025
Organization, Smyrna, GA LLC, For-profit Adp of the SNF Feb 12, 2025
Individual Adp of the SNF Sep 1, 2023
North Mountain Property Holdings LLC Organization, Juliette, GA Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Sep 1, 2023 100%
Adp of the SNF Sep 1, 2023
Organization, Juliette, GA LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Feb 1, 2015 1%
Individual Adp of the SNF Sep 1, 2023
Elizabeth K. Oberly Individual Operational/Managerial Control Jan 16, 2023
Adp of the SNF Jan 16, 2023
Individual Adp of the SNF Sep 1, 2023
Michael Eugene Winget Individual 5% Or Greater Direct Ownership Interest Feb 1, 2015 99%
Corporate OfficerManager Feb 1, 2015
Operational/Managerial Control Feb 1, 2015
Adp of the SNF Feb 1, 2015
Horace L Cline Individual Operational/Managerial Control Nov 27, 2023
Adp of the SNF Nov 27, 2023
Individual Adp of the SNF Sep 1, 2023
Individual Adp of the SNF Feb 1, 2015

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 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": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1235528357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 PINHOOK RD",
            "city": "TALKING ROCK",
            "state": "GA",
            "postal_code": "301753495",
            "telephone_number": "706-692-6014",
            "fax_number": "706-692-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PINHOOK RD",
            "city": "TALKING ROCK",
            "state": "GA",
            "postal_code": "301753495",
            "telephone_number": "706-692-6014",
            "fax_number": "706-692-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.R. OF WILDWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "478-994-3669",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildwood Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Talking Rock, GA

Sources for this page

Verify at the official NPI Registry.