Active NPI
MLH Salude - Gwinnett LLC
Doing business as Salude - The Art of Recovery
- Skilled Nursing Facility
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MLH SALUDE - GWINNETT LLC
- Doing business as
- Salude - The Art of Recovery
- Practice address
- 601 Northolt Pkwy
Suwanee, GA 30024-4360 - Phone
- (770) 904-3222
- Fax
- (770) 904-3249
- NPI assigned
- Nov 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald E Silva
- Title
- President
- Phone
- (415) 834-1477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
601 Northolt Pkwy
Suwanee, GA 30024-4360
Mailing address
601 Northolt Pkwy
Suwanee, GA 30024-4360
Phone (770) 904-3222
Other names 1
- Salude - The Art of Recovery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190306001975 | GA | Part A Provider - Skilled Nursing Facility | 3274877758 | Practice locations: Suwanee, GA |
Skilled nursing facility certification: CCN 115723
- Legal name
- MLH SALUDE - GWINNETT LLC
- Doing business as
- SALUDE - THE ART OF RECOVERY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Aug 27, 2014
- Last certification
- Oct 15, 2023
- Beds
- 64
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Oct 24, 2018 in DE
- Enrollment address
- 601 Northolt Pkwy
Suwanee, GA 30024-4360 - Nursing home name
- SALUDE - THE ART OF RECOVERY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Salude - the Art of Recovery
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 27, 2014
- Medicare certification status
- Active
- Certified beds
- 64
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2081345 | MLH Salude - Gwinnett, LLC | Certificate of waiver | Jul 22, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dustin a Frazier | Corporate Officer | Feb 1, 2019 | |
| Alan L Wang | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 12.5% |
| Corporate Officer | Oct 1, 2019 | ||
| Ronald E Silva | Corporate Officer | Oct 24, 2018 | |
| Corporate Director | Oct 24, 2018 | ||
| Embarcadero Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 86.5% |
| Timothy G Getz | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 45% |
| Corporate Officer | Oct 24, 2018 | ||
| Fillmore Capital Partners, LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 55% |
| Devangi Desai | W-2 Managing Employee | Dec 26, 2018 | |
| Macondray Lane LP | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 100% |
| Limited Partnership Interest | Oct 1, 2019 | 100% | |
| Larry Heydon | Corporate Officer | Oct 1, 2019 |
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba The Rizor Institute
- Physical Medicine & Rehabilitation Physician
- Suwanee, GA
- NPI 1346005824
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1543449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543449600000",
"number": "1265902530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 NORTHOLT PKWY",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244360",
"telephone_number": "770-904-3222",
"fax_number": "770-904-3249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 NORTHOLT PKWY",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244360",
"telephone_number": "770-904-3222",
"fax_number": "770-904-3249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MLH SALUDE - GWINNETT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-29",
"last_updated": "2018-11-29",
"status": "A",
"authorized_official_last_name": "SILVA",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-834-1477"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Salude - The Art of Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.