Elberta Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-076-1674 Issued in GA

Legal business name

ELBERTA HEALTHCARE, LLC

Practice address

801 Elberta Rd
Warner Robins, GA 31093-1735

Phone

(478) 923-3146

Fax

(478) 922-9145

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah L. Meade

Title

Operations

Phone

(478) 328-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southern Pines Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Skilled nursing facility certification: CCN 115657

Legal name

ELBERTA HEALTHCARE, LLC

Doing business as

SOUTHERN PINES

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1998

Last certification

Feb 2, 2025

Beds

66

Ownership / control type

Limited Liability Corporation

Multi-facility organization

PRUITTHEALTH

Organization structure

LLCProprietary

Enrollment address

801 Elberta Rd
Warner Robins, GA 31093-1735

Listed as

Pruitthealth - Warner Robins LLCCCN 115657

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6660.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

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

Facilities with the same owner 2

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

• Eastview Healthcare, LLC

  • Skilled Nursing Facility
  • Macon, GA
  • NPI 1336138528

  Health Management LLC

  CMS ownership
• Summers Retirement, LLC

  • Skilled Nursing Facility
  • Warner Robins, GA
  • NPI 1629458963

  Health Management LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darl Wayne Rantz, M.D.

  • Family Medicine Physician
  • Macon, GA
  • NPI 1215911102
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Darl Wayne Rantz, M.D.

  • Family Medicine Physician
  • Macon, GA
  • NPI 1215911102

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1326037516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ELBERTA RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931735",
            "telephone_number": "478-923-3146",
            "fax_number": "478-922-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ELBERTA RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931735",
            "telephone_number": "478-923-3146",
            "fax_number": "478-922-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERTA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "478-328-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-076-1674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00140918A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.

Verify at the official NPI Registry.