NPIMap

Organization Active NPI

SB Tybee LLC

  • Skilled Nursing Facility
  • Tybee Island, GA
National Provider Identifier
1386099679
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SB TYBEE LLC
Practice address
26 Van Horne Ave
Tybee Island, GA 31328-9780
Phone
(912) 786-4511
Fax
(912) 786-7414
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Karen D Forrister
Title
Member
Phone
(404) 620-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X GA Primary

Addresses

Primary practice location

26 Van Horne Ave
Tybee Island, GA 31328-9780

Mailing address

26 Van Horne Ave
Tybee Island, GA 31328-9780
Phone (912) 786-4511

Other names 1

  • Savannah Beach Health and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160808000557 GA Part A Provider - Skilled Nursing Facility 0244524692 Practice locations: Tybee Island, GA

Skilled nursing facility certification: CCN 115633

Legal name
SB TYBEE LLC
Doing business as
SAVANNAH BEACH HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1997
Last certification
Oct 28, 2024
Beds
50
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 15, 2016 in GA
Enrollment address
26 Van Horne Ave
Tybee Island, GA 31328-9780

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tybee Island Trails of Journey LLCCCN 115633
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5048.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
David K Lemcke Individual 5% Or Greater Direct Ownership Interest Jul 13, 2016 30%
Karen D Forrister Individual 5% Or Greater Direct Ownership Interest Jul 13, 2016 70%
Corporate Officer Jul 13, 2016 70%
Beverly Hamilton Individual W-2 Managing EmployeeAdministrator Jul 13, 2016
Peach Health Group LLC Organization, Snellville, GA LLC Operational/Managerial Control Aug 26, 2022

Facilities with the same owner 6

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

Practitioners 2

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

Affiliated clinicians 1

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": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1386099679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 VAN HORNE AVE",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "313289780",
            "telephone_number": "912-786-4511",
            "fax_number": "912-786-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 VAN HORNE AVE",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "313289780",
            "telephone_number": "912-786-4511",
            "fax_number": "912-786-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB TYBEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "FORRISTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-620-7659"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Beach Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tybee Island, GA

Sources for this page

Verify at the official NPI Registry.