Global Abbeville, LLC
Organization Active NPI Skilled Nursing Facility · Abbeville, GA
NPI 1407375645 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1407375645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- GLOBAL ABBEVILLE, LLC
- Practice address
- 206 Main St E
Abbeville, GA 31001-4216 - Phone
- (229) 467-2515
- NPI assigned
- Sep 19, 2017
- Organization subpart
- No
Authorized official
- Name
- Jeanette Ross
- Title
- Operations Director
- Phone
- (229) 635-4085
Owners & managing parties with NPI records 1
-
Michael Todd Peacock, M.D.
Facilities with the same owner 7
Practitioners 1
-
Michael Todd Peacock, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Abbeville Crossing of Journey LLC
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 17, 2018
- Medicare certification status
- Active
- Certified beds
- 101 · 57.0 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $87,910
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Skilled nursing facility certification: CCN 115733
- Legal name
- GLOBAL ABBEVILLE LLC
- Doing business as
- GLEN EAGLE HEALTHCARE AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 17, 2018
- Last certification
- Jan 26, 2023
- Beds
- 101
- Ownership / control type
- Corporation
- Multi-facility organization
- Selects Health LLC
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 8, 2017 in GA
- Enrollment address
- 206 Main St E
Abbeville, GA 31001-4216
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Adam a Desmond |
Operational/Managerial Control | Nov 1, 2023 | |
| Managing Control - Governing Body |
Nov 1, 2023 | ||
| Adp of the SNF | Nov 1, 2023 | ||
| |
Adp of the SNF | Mar 10, 2017 | |
| Elizabeth Lott |
Operational/Managerial Control | Jul 8, 2024 | |
| Adp of the SNF | Jul 8, 2024 | ||
| |
Adp of the SNF | Oct 31, 2025 | |
| Kayln King |
Operational/Managerial Control | Sep 12, 2024 | |
| Adp of the SNF | Sep 12, 2024 | ||
| Jamie Trost |
Operational/Managerial Control | Sep 8, 2022 | |
| Adp of the SNF | Sep 8, 2022 | ||
| |
Adp of the SNF | Dec 23, 2025 | |
| Selectis Management LLC |
Operational/Managerial Control | Dec 1, 2020 | 100% |
| Adp of the SNF | Dec 16, 2025 | ||
| Michelle Hahner |
Operational/Managerial Control | Feb 13, 2023 | |
| Adp of the SNF | Feb 13, 2023 | ||
| Novetta Small |
Operational/Managerial Control | Mar 15, 2024 | |
| Adp of the SNF | Mar 15, 2024 | ||
| |
Adp of the SNF | Nov 1, 2019 | |
| |
Adp of the SNF | Dec 23, 2025 | |
| Skylar Jones |
Operational/Managerial Control | Sep 25, 2024 | |
| Adp of the SNF | Sep 25, 2024 | ||
| Lance Baller |
Adp of the SNF | Mar 10, 2017 | |
| Indirect Ownership Interest | Feb 1, 2018 | 9.32% | |
| Wanda Roberts |
Operational/Managerial Control | Nov 10, 2022 | |
| Adp of the SNF | Nov 10, 2022 | ||
| Michael Todd Peacock |
Operational/Managerial Control | Jun 1, 2015 | |
| Adp of the SNF | Jun 1, 2015 | ||
| Selectis Health Inc |
5% Or Greater Direct Ownership Interest | Feb 1, 2018 | 100% |
| Adp of the SNF | Mar 10, 2017 | ||
| Krystal D Eckhart |
Operational/Managerial Control |
Dec 14, 2020 | |
| Managing Control - Governing Body |
Nov 1, 2023 | ||
| Adp of the SNF | Dec 14, 2020 | ||
| Sarah Day |
Operational/Managerial Control | Jul 26, 2021 | |
| Managing Control - Governing Body |
Nov 1, 2023 | ||
| Adp of the SNF | Jul 26, 2021 | ||
| William Brown |
Operational/Managerial Control | Jun 23, 2025 | |
| Adp of the SNF | Jun 23, 2025 | ||
| Amanda Wood |
Operational/Managerial Control | Jun 26, 2024 | |
| Adp of the SNF | Jun 26, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180307002816 | GA | Part a Provider - Skilled Nursing Facility | 7810258860 | Practice locations: Abbeville, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | GA | Yes |
Addresses
Primary practice location
206 Main St E
Abbeville, GA 31001-4216
Mailing address
206 Main St E
Abbeville, GA 31001-4216
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003214231A | Medicaid | GA |
Other names
- Glen Eagle Healthcare and Rehab
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gedon@gleneaglehr.com | Direct |
Other providers in Abbeville, GA
- Abbeville Healthcare & Rehab, LLC
- Carson Brooks
- Elizabeth C Cannon
- City of Abbeville
- DMC Physician Group LLC
- Ashley Handley
- High Cotton Homes, LLC
- Lisa S Hunter
- Robert Land
- Abigail Dewitt Leone
All providers in Abbeville, 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 Nov 18, 2020. 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.