Organization Active NPI

Global Abbeville, LLC

Doing business as Glen Eagle Healthcare and Rehab

  • Skilled Nursing Facility
  • Abbeville, GA
National Provider Identifier
1407375645
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GLOBAL ABBEVILLE, LLC
Doing business as
Glen Eagle Healthcare and Rehab
Practice address
206 Main St E
Abbeville, GA 31001-4216
Phone
(229) 467-2515
NPI assigned
Sep 19, 2017
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Jeanette Ross
Title
Operations Director
Phone
(229) 635-4085

Specialties & licenses 1

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

Addresses

Primary practice location

206 Main St E
Abbeville, GA 31001-4216

Mailing address

206 Main St E
Abbeville, GA 31001-4216

Other names 1

  • Glen Eagle Healthcare and Rehab Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gedon@gleneaglehr.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180307002816 GA Part A Provider - Skilled Nursing Facility 7810258860 Practice locations: Abbeville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407375645. Details of each certification follow.

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
LLCProprietary
Incorporated
Feb 8, 2017 in GA
Enrollment address
206 Main St E
Abbeville, GA 31001-4216

Care Compare: Nursing home

Medicare Care Compare
Listed as
Abbeville Crossing of Journey LLCCCN 115733 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
10157.0 residents per day on average
Penalties (3 years)
1Fines totaling $87,910

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: gedon@gleneaglehr.com

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Adam a Desmond Individual Operational/Managerial Control Nov 1, 2023
Managing Control - Governing BodyCeo/Cfo Nov 1, 2023
Adp of the SNF Nov 1, 2023
Organization, Denver, CO LLC, For-profit Adp of the SNF Mar 10, 2017
Elizabeth Lott Individual Operational/Managerial Control Jul 8, 2024
Adp of the SNF Jul 8, 2024
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Oct 31, 2025
Kayln King Individual Operational/Managerial Control Sep 12, 2024
Adp of the SNF Sep 12, 2024
Jamie Trost Individual Operational/Managerial Control Sep 8, 2022
Adp of the SNF Sep 8, 2022
Organization, Louisville, KY Corporation, Medical provider/supplier, For-profit Adp of the SNF Dec 23, 2025
Selectis Management LLC Organization, Greenwood Village, CO LLC, Management services company, For-profit Operational/Managerial Control Dec 1, 2020 100%
Adp of the SNF Dec 16, 2025
Michelle Hahner Individual Operational/Managerial Control Feb 13, 2023
Adp of the SNF Feb 13, 2023
Novetta Small Individual Operational/Managerial Control Mar 15, 2024
Adp of the SNF Mar 15, 2024
Individual Adp of the SNF Nov 1, 2019
Organization, Princeton, NJ Corporation, Consulting firm, For-profit Adp of the SNF Dec 23, 2025
Skylar Jones Individual Operational/Managerial Control Sep 25, 2024
Adp of the SNF Sep 25, 2024
Lance Baller Individual Adp of the SNF Mar 10, 2017
Indirect Ownership Interest Feb 1, 2018 9.32%
Wanda Roberts Individual Operational/Managerial Control Nov 10, 2022
Adp of the SNF Nov 10, 2022
Michael Todd Peacock Individual Operational/Managerial Control Jun 1, 2015
Adp of the SNF Jun 1, 2015
Selectis Health Inc Organization, Greenwood Village, CO Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2018 100%
Adp of the SNF Mar 10, 2017
Krystal D Eckhart Individual Operational/Managerial ControlRegional Business Office Manager Dec 14, 2020
Managing Control - Governing BodyVP of Revenue Nov 1, 2023
Adp of the SNF Dec 14, 2020
Sarah Day Individual Operational/Managerial Control Jul 26, 2021
Managing Control - Governing BodyVP Operations Nov 1, 2023
Adp of the SNF Jul 26, 2021
William Brown Individual Operational/Managerial Control Jun 23, 2025
Adp of the SNF Jun 23, 2025
Amanda Wood Individual Operational/Managerial Control Jun 26, 2024
Adp of the SNF Jun 26, 2024

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 7

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

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": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1407375645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MAIN ST E",
            "city": "ABBEVILLE",
            "state": "GA",
            "postal_code": "310014216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MAIN ST E",
            "city": "ABBEVILLE",
            "state": "GA",
            "postal_code": "310014216",
            "telephone_number": "229-467-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL ABBEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "229-635-4085"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gedon@gleneaglehr.com",
            "affiliation": "N",
            "endpointDescription": "Director of Nursing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "206 Main St E",
            "city": "Abbeville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310014216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Glen Eagle Healthcare and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abbeville, GA

Sources for this page

Verify at the official NPI Registry.