NPIMap

Organization Active NPI

Heritage Inn of Sandersville LLC

Doing business as Heritage Inn of Sandersville Health and Rehabilitation

  • Skilled Nursing Facility
  • Sandersville, GA
National Provider Identifier
1265479133
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-150-1704 Issued in GA
Legal business name
HERITAGE INN OF SANDERSVILLE LLC
Doing business as
Heritage Inn of Sandersville Health and Rehabilitation
Practice address
652 Ferncrest Dr
Sandersville, GA 31082-1863
Phone
(478) 552-3015
Fax
(478) 552-1767
NPI assigned
Jun 1, 2006
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Karen McMichael
Title
Administrator
Phone
(478) 552-3015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-150-1704 GA Primary

Addresses

Primary practice location

652 Ferncrest Dr
Sandersville, GA 31082-1863

Mailing address

PO Box 388
Sandersville, GA 31082-0388
Phone (478) 552-3015

Other identifiers 2

IdentifierTypeStateIssuer
00412678AMedicaidGA
51001283 001OtherBCBS

Other names 1

  • Heritage Inn of Sandersville 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
O20040113000136 GA Part A Provider - Skilled Nursing Facility 1850208679 Practice locations: Sandersville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265479133. Details of each certification follow.

Skilled nursing facility certification: CCN 115369

Legal name
HERITAGE INN OF SANDERSVILLE LLC
Doing business as
HERITAGE INN OF SANDERSVILLE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1989
Last certification
Mar 30, 2025
Beds
60
Ownership / control type
Other Nonprofit
Multi-facility organization
Health Systems Facilities, Inc.
Most recent change of ownership
Jul 1, 2002
Organization structure
LLCNon-profit
Enrollment address
652 Ferncrest Dr
Sandersville, GA 31082-1863
Nursing home name
HERITAGE INN OF SANDERSVILLE HEALTH AND REHAB
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Inn of Sandersville Health and RehabCCN 115369 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
May 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.6 residents per day on average
Chain
Ethica Health50 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
11D0646067Heritage Inn of Sandersville652 Ferncrest Drive, Sandersville, GA 31082Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Ryhar Corporation Organization, Sandersville, GA LLC Adp of the SNF Jun 1, 1990
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Organization, Macon, GA LLC, Non-profit Adp of the SNF Jun 10, 2025
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Karen McMichael Individual Operational/Managerial Control Oct 22, 2025
Adp of the SNF Dec 22, 2025
Individual Adp of the SNF Jan 1, 2024
Dave a Ringer Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Individual Adp of the SNF Jan 1, 2024
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Jun 10, 2025
Gregory Davis Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDVP Sep 1, 2023
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Individual Adp of the SNF Jan 1, 2024
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Sep 30, 2003
Adp of the SNF Jun 16, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Oct 1, 2003 100%
Victoria Collins Individual Operational/Managerial Control Oct 22, 2025
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Jun 10, 2025
Health Systems Facilities Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Oct 1, 2003 100%
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Jun 10, 2025
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024
Individual Adp of the SNF Jan 1, 2025

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 49

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

View all 49

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.

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1265479133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310820388",
            "telephone_number": "478-552-3015",
            "fax_number": "478-552-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 FERNCREST DR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821863",
            "telephone_number": "478-552-3015",
            "fax_number": "478-552-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE INN OF SANDERSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "MCMICHAEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-552-3015"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-150-1704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00412678A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51001283 001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Inn of Sandersville Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.