Organization Active NPI

MLH Salude - Gwinnett LLC

Doing business as Salude - The Art of Recovery

  • Skilled Nursing Facility
  • Suwanee, GA
National Provider Identifier
1265902530
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Nov 29, 2018

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RecoveryCCN 115723 · 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
Ownership
For profit - Limited Liability company
Certified
Aug 27, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6459.1 residents per day on average

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
11D2081345MLH Salude - Gwinnett, LLC601 Northolt Parkway, Suwanee, GA 30024Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Dustin a Frazier Individual Corporate OfficerVice President and Secretary Feb 1, 2019
Alan L Wang Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 12.5%
Corporate OfficerCeo Oct 1, 2019
Ronald E Silva Individual Corporate OfficerPresident Oct 24, 2018
Corporate DirectorDirector Oct 24, 2018
Embarcadero Healthcare LLC Organization, Powell, OH LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 86.5%
Timothy G Getz Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 45%
Corporate OfficerExecutive Vice President Oct 24, 2018
Fillmore Capital Partners, LLC Organization, Powell, OH LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 55%
Devangi Desai Individual W-2 Managing EmployeeExecutive Director Dec 26, 2018
Macondray Lane LP Organization, Powell, OH For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Limited Partnership Interest Oct 1, 2019 100%
Larry Heydon Individual Corporate OfficerFiscal Agent/Cfo 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.

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

Verify at the official NPI Registry.