NPIMap

Organization Active NPI

Chaplinwood Nursing Home LLC

Doing business as Chaplinwood Health and Rehabilitation

  • Skilled Nursing Facility
  • Milledgeville, GA
National Provider Identifier
1447289640
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-005-1778 Issued in GA
Legal business name
CHAPLINWOOD NURSING HOME LLC
Doing business as
Chaplinwood Health and Rehabilitation
Practice address
325 Allen Memorial Dr SW
Milledgeville, GA 31061-4405
Phone
(478) 453-8514
Fax
(478) 453-8616
NPI assigned
Jul 1, 2006
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Shannetha Wilder
Title
Administrator
Phone
(478) 453-8514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-005-1778 GA Primary

Addresses

Primary practice location

325 Allen Memorial Dr SW
Milledgeville, GA 31061-4405

Mailing address

325 Allen Memorial Dr SW
Milledgeville, GA 31061-4405
Phone (478) 453-8514

Other identifiers 2

IdentifierTypeStateIssuer
51001275 001OtherBCBS
00059694AMedicaidGA

Other names 1

  • Chaplinwood Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030730000036 GA Part A Provider - Skilled Nursing Facility 1254242936 Practice locations: Milledgeville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447289640. Details of each certification follow.

Skilled nursing facility certification: CCN 115477

Legal name
CHAPLINWOOD NURSING HOME LLC
Doing business as
CHAPLINWOOD HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 27, 1989
Last certification
Jun 5, 2025
Beds
100
Ownership / control type
Other Nonprofit
Multi-facility organization
Health Scholarships Inc
Organization structure
LLCNon-profit
Enrollment address
325 Allen Memorial Dr SW
Milledgeville, GA 31061-4405
Nursing home name
CHAPLINWOOD NURSING HOME
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Chaplinwood Nursing HomeCCN 115477 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Nov 27, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10087.9 residents per day on average
Chain
Ethica Health50 facilities in the chain
Penalties (3 years)
2Fines totaling $7,901

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
11D0646052Chaplinwood Health & Rehabilitation325 Allen Memorial Drive, SW, Milledgeville, GA 31061Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Shannetha Wilder Individual Operational/Managerial Control Jul 26, 2020
Adp of the SNF Apr 17, 2025
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Yolanda Tucker Individual Operational/Managerial Control Jun 5, 2026
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Individual Adp of the SNF Jan 1, 2025
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Apr 16, 2025
Community Ancillary Services Inc Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF May 4, 2009
Individual Adp of the SNF Jan 1, 2024
Dave a Ringer Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Aug 5, 2025
Gregory Davis Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDivision Vice President Sep 1, 2023
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control May 4, 2009
Adp of the SNF Apr 16, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 4, 2009 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Mar 13, 2003 100%
Organization, Gray, GA LLC, For-profit Adp of the SNF Jun 6, 2011
Systems Administrative Services LLC Organization, Macon, GA LLC, Non-profit Adp of the SNF Mar 13, 2003
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 50

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

View all 50

Practitioners & affiliated clinicians

Practitioners 2

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1447289640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ALLEN MEMORIAL DR SW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614405",
            "telephone_number": "478-453-8514",
            "fax_number": "478-453-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ALLEN MEMORIAL DR SW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614405",
            "telephone_number": "478-453-8514",
            "fax_number": "478-453-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPLINWOOD NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "SHANNETHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-453-8514"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-005-1778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51001275 001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00059694A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaplinwood Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chaplinwood Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.