Organization Active NPI

Fairburn Heights of Journey LLC

  • Skilled Nursing Facility
  • Fairburn, GA
National Provider Identifier
1255167458
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FAIRBURN HEIGHTS OF JOURNEY LLC
Practice address
178 W Campbellton St
Fairburn, GA 30213-1219
Phone
(770) 964-1320
Fax
(770) 969-6177
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Bernard J McGuinness III
Title
Officer
Phone
(463) 278-0868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

178 W Campbellton St
Fairburn, GA 30213-1219

Mailing address

178 W Campbellton St
Fairburn, GA 30213-1219
Phone (770) 964-1320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519002161 GA Part A Provider - Skilled Nursing Facility 7416475926 Practice locations: Fairburn, GA

Skilled nursing facility certification: CCN 115298

Legal name
FAIRBURN HEIGHTS OF JOURNEY LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 7, 1982
Last certification
Aug 5, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
JOURNEY HEALTHCARE
Organization structure
LLCProprietary
Enrollment address
178 W Campbellton St
Fairburn, GA 30213-1219
Nursing home name
FAIRBURN HEIGHTS OF JOURNEY LLC
Affiliated entity
JOURNEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fairburn Heights of Journey LLCCCN 115298
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 7, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120110.4 residents per day on average
Chain
Journey Healthcare32 facilities in the chain

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
11D0257191Fairburn Heights178 West Campbellton St, Fairburn, GA 30213Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Organization, Wilmington, DE Holding company Adp of the SNF Nov 1, 2024
Blue Ocean Trust Organization, Boca Raton, FL Indirect Ownership Interest Nov 1, 2024 31.7%
Edna Phillips Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Nikki Sillings Individual Operational/Managerial Control Jan 13, 2025
Adp of the SNF Jan 13, 2025
Ajoj Holdings LLC Organization, Boca Raton, FL LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2024 33.33%
Organization, Chevy Chase, MD Corporation, Real estate investment trust (REIT) Adp of the SNF Nov 1, 2024
Jody Omara Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Organization, Portland, OR LLC, Consulting firm Adp of the SNF Nov 1, 2024
Journey Ox Ga Management LLC Organization, Noblesville, IN LLC, Management services company, Chain home office Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Individual Adp of the SNF Nov 1, 2024
Shasam Holdings LLC Organization, Boca Raton, FL LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2024 33.33%
Summit Fairburn LLC Organization, Lake Forest, CA LLC Adp of the SNF Nov 1, 2024
Antonio Jones Individual Operational/Managerial Control Nov 18, 2024
Adp of the SNF Nov 18, 2024
Pamela Scandrett Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Organization, Alexandria, VA LLC, Financial institution Adp of the SNF Nov 1, 2024
Individual Indirect Ownership Interest Nov 1, 2024 1.63%
Tiffany Davis Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Matthew L Trammell Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Jennifer Johnson Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Bernard J McGuinness Individual Operational/Managerial Control Nov 1, 2024
Managing Control - Governing BodyCeo Nov 1, 2024
Adp of the SNF Nov 1, 2024
Indirect Ownership Interest Nov 1, 2024 1.63%
Journey Ox Ga Healthcare Holdings LLC Organization, Noblesville, IN LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2024 100%
3 Bees Holdings LLC Organization, Noblesville, IN LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2024 33.3%
Cameron Conrad Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Organization, Laguna Hills, CA LLC, Holding company Adp of the SNF Nov 1, 2024
Shasam Family Trust Organization, Boca Raton, FL Indirect Ownership Interest Nov 1, 2024 31.7%
Terence Frinks Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Journey Ox of Ga LLC Organization, Noblesville, IN LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Nov 1, 2024 100%
Richard Bilbo Individual Operational/Managerial Control Nov 20, 2024
Adp of the SNF Nov 20, 2024
Bees Family Irrevocable Trust Organization, Carmel, IN Indirect Ownership Interest Nov 1, 2024 31.7%
Individual Indirect Ownership Interest Nov 1, 2024 1.63%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1255167458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 W CAMPBELLTON ST",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131219",
            "telephone_number": "770-964-1320",
            "fax_number": "770-969-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 W CAMPBELLTON ST",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131219",
            "telephone_number": "770-964-1320",
            "fax_number": "770-969-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBURN HEIGHTS OF JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "MCGUINNESS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "463-278-0868",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

Verify at the official NPI Registry.