Organization Active NPI

Woodstock Center for Nursing and Healing LLC

  • Skilled Nursing Facility
  • Woodstock, GA
National Provider Identifier
1295574473
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Shlomo E Heller
Title
Member of LLC
Phone
(470) 737-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250908002791 GA Part A Provider - Skilled Nursing Facility 7315449345 Practice locations: Woodstock, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295574473. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodstock Center for Nursing and Healing LLCCCN 115421 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
171151.6 residents per day on average
Chain
Empire Care Centers20 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
11D0646070Woodstock Center for Nursing and Healing LLC105 Arnold Mill Road, Woodstock, GA 30188Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 46

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

NameRoleSinceShare
Organization, Portland, OR LLC, Consulting firm Adp of the SNF May 12, 2025
Kristin Watts Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF May 12, 2025
Jennifer N. Vasil Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Organization, Lakewood, NJ LLC Adp of the SNF May 12, 2025
Barry Donath Individual 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 Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Organization, Portland, OR LLC, Holding company Adp of the SNF Sep 9, 2025
Ensh Consulting LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 12, 2025 94%
Adp of the SNF May 12, 2012
Gladys Sone-Ebeloue Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025
Annette Goodwin Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025
Organization, Bayside, NY Adp of the SNF May 12, 2025
Individual Adp of the SNF May 12, 2025
Organization, Portland, OR LLC, Holding company Adp of the SNF Sep 9, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF May 12, 2025
Tanya Coopeland Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Organization, Chicago, IL LLC, Holding company Adp of the SNF Sep 9, 2025
Lisa Hansen Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Maurice Facyson Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Leanthony a Hardy Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025
Shemily Mathew Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Michael Gilbert Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Katrina Shield Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Shlomo E Heller Individual 5% Or Greater Indirect Ownership Interest May 12, 2025 47%
Operational/Managerial Control May 12, 2025
Managing Control - Governing BodyCeo May 12, 2025
Adp of the SNF May 5, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025
Organization, Bayside, NY Adp of the SNF Sep 16, 2025
Ga Cy2 Holdco LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 12, 2025 100%
Organization, Portland, OR Corporation, Holding company Adp of the SNF Sep 9, 2025
Ephraim Nussbaum Individual 5% Or Greater Indirect Ownership Interest May 12, 2025 47%
Operational/Managerial Control May 12, 2025
Managing Control - Governing BodyLLC Manager/President May 12, 2025
Adp of the SNF May 12, 2025
Renee Ellis Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Empire Care Centers LLC Organization, Lakewood, NJ LLC, Management services company, Chain home office Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Aryeh L Swerdloff Individual 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 Individual Operational/Managerial Control May 12, 2025
Adp of the SNF May 12, 2025
Organization, Portland, OR LLC, Holding company Adp of the SNF Sep 8, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025
Organization, Bayside, NY LLC, Holding company Adp of the SNF May 12, 2025
Organization, Bayside, NY Adp of the SNF May 12, 2025
Organization, Chicago, IL LLC, Holding company Adp of the SNF Sep 9, 2025
Organization, Bayside, NY Adp of the SNF Sep 8, 2025

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 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1295574473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ARNOLD MILL RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885027",
            "telephone_number": "770-926-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARNOLD MILL RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885027",
            "telephone_number": "770-926-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK CENTER FOR NURSING AND HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "470-737-0111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.