Woodstock Center for Nursing and Healing LLC
Organization Active NPI Skilled Nursing Facility · Woodstock, GA
NPI 1295574473 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1295574473
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- WOODSTOCK CENTER FOR NURSING AND HEALING LLC
- Practice address
- 105 Arnold Mill Rd
Woodstock, GA 30188-5027 - Phone
- (770) 926-0016
- NPI assigned
- May 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Shlomo E Heller
- Title
- Member of LLC
- Phone
- (470) 737-0111
Owners & managing parties with NPI records 1
Facilities with the same owner 20
Practitioners 1
-
Carroll G Odem, MD
Medicare Care Compare: Nursing home
- Listed as
- Woodstock Center for Nursing and Healing LLC
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1989
- Medicare certification status
- Active
- Certified beds
- 171 · 151.6 residents per day on average
- Chain
- Empire Care Centers
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0646070 | Woodstock Center for Nursing and Healing LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Skilled nursing facility certification: CCN 115421
- Legal name
- WOODSTOCK CENTER FOR NURSING AND HEALING LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1989
- Last certification
- May 16, 2024
- Beds
- 171
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Empire Care Centers
- Organization structure
- LLC · Proprietary
- Enrollment address
- 105 Arnold Mill Rd
Woodstock, GA 30188-5027 - Nursing home name
- WOODSTOCK CENTER FOR NURSING AND HEALING LLC
- Affiliated entity
- EMPIRE CARE CENTERS
All disclosed owners & managing parties 46
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | May 12, 2025 | |
| Kristin Watts |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| |
Adp of the SNF | May 12, 2025 | |
| Jennifer N. Vasil |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| |
Adp of the SNF | May 12, 2025 | |
| Barry Donath |
5% Or Greater Indirect Ownership Interest | May 12, 2025 | 2% |
| Operational/Managerial Control | May 12, 2025 | ||
| Adp of the SNF | May 5, 2025 | ||
| Tenisha Waters |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| |
Adp of the SNF | Sep 9, 2025 | |
| Ensh Consulting LLC |
5% Or Greater Indirect Ownership Interest | May 12, 2025 | 94% |
| Adp of the SNF | May 12, 2012 | ||
| Gladys Sone-Ebeloue |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| |
Adp of the SNF | Sep 8, 2025 | |
| Annette Goodwin |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| |
Adp of the SNF | Sep 8, 2025 | |
| |
Adp of the SNF | Sep 8, 2025 | |
| |
Adp of the SNF | Sep 8, 2025 | |
| |
Adp of the SNF | May 12, 2025 | |
| |
Adp of the SNF | May 12, 2025 | |
| |
Adp of the SNF | Sep 9, 2025 | |
| |
Adp of the SNF | Sep 8, 2025 | |
| |
Adp of the SNF | Sep 8, 2025 | |
| |
Adp of the SNF | May 12, 2025 | |
| Tanya Coopeland |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| |
Adp of the SNF | Sep 9, 2025 | |
| Lisa Hansen |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| Maurice Facyson |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| Leanthony a Hardy |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| |
Adp of the SNF | Sep 8, 2025 | |
| Shemily Mathew |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| Michael Gilbert |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| Katrina Shield |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| Shlomo E Heller |
5% Or Greater Indirect Ownership Interest | May 12, 2025 | 47% |
| Operational/Managerial Control | May 12, 2025 | ||
| Managing Control - Governing Body |
May 12, 2025 | ||
| Adp of the SNF | May 5, 2025 | ||
| |
Adp of the SNF | Sep 8, 2025 | |
| |
Adp of the SNF | Sep 16, 2025 | |
| Ga Cy2 Holdco LLC |
5% Or Greater Direct Ownership Interest | May 12, 2025 | 100% |
| |
Adp of the SNF | Sep 9, 2025 | |
| Ephraim Nussbaum |
5% Or Greater Indirect Ownership Interest | May 12, 2025 | 47% |
| Operational/Managerial Control | May 12, 2025 | ||
| Managing Control - Governing Body |
May 12, 2025 | ||
| Adp of the SNF | May 12, 2025 | ||
| Renee Ellis |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| Empire Care Centers LLC |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| Aryeh L Swerdloff |
5% Or Greater Indirect Ownership Interest | May 12, 2025 | 4% |
| Operational/Managerial Control | May 12, 2025 | ||
| Adp of the SNF | May 5, 2025 | ||
| Dorenda M Tiggs |
Operational/Managerial Control | May 12, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| |
Adp of the SNF | Sep 8, 2025 | |
| |
Adp of the SNF | Sep 8, 2025 | |
| |
Adp of the SNF | May 12, 2025 | |
| |
Adp of the SNF | May 12, 2025 | |
| |
Adp of the SNF | Sep 9, 2025 | |
| |
Adp of the SNF | Sep 8, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250908002791 | GA | Part a Provider - Skilled Nursing Facility | 7315449345 | Practice locations: Woodstock, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
105 Arnold Mill Rd
Woodstock, GA 30188-5027
Mailing address
105 Arnold Mill Rd
Woodstock, GA 30188-5027
Phone (770) 926-0016
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Woodstock, GA
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- Sadie Woods
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- Woodstock Dentist LLC
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All providers in Woodstock, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.