NPIMap

Organization Active NPI

HLTC, Inc.

  • Skilled Nursing Facility
  • Dalton, GA
National Provider Identifier
1477584886
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-155-1591 Issued in GA
Legal business name
HLTC, INC.
Practice address
1212 Broadrick Dr
Dalton, GA 30720-2503
Phone
(706) 270-8008
Fax
(706) 270-8248
NPI assigned
Jul 5, 2006
Organization subpart
Yes
Parent organization
HLTC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
George Carrazana
Title
Administrator
Phone
(706) 270-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-155-1591 GA Primary

Addresses

Primary practice location

1212 Broadrick Dr
Dalton, GA 30720-2503

Mailing address

1212 Broadrick Dr
Dalton, GA 30720-2503
Phone (706) 270-8008

Other identifiers 2

IdentifierTypeStateIssuer
51003598 001OtherBCBS
000837207AMedicaidGA

Other names 1

  • Regency Park 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
O20070824000589 GA Part A Provider - Skilled Nursing Facility 5991897613 Practice locations: Dalton, GA

Skilled nursing facility certification: CCN 115663

Legal name
HLTC INC
Doing business as
REGENCY PARK HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 9, 1999
Last certification
Apr 11, 2024
Beds
100
Ownership / control type
Nonprofit Corporation
Multi-facility organization
HLTC, Inc.
Organization structure
CorporationNon-profit
Incorporated
Jul 11, 1997 in GA
Enrollment address
1212 Broadrick Dr
Dalton, GA 30720-2503
Nursing home name
REGENCY PARK HEALTH AND REHABILITATION

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency Park Health and RehabilitationCCN 115663
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 9, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10091.8 residents per day on average
Penalties (3 years)
2Fines totaling $8,512

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
11D0959230Regency Park Health & Rehabilitation1212 Broadrick Drive, Dalton, GA 30720Certificate of waiverApr 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
HLTC Inc3 organizations share this tax ID, including this one
Part of
HLTC Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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
George Carrazana Individual Corporate OfficerAdministrator Jul 5, 2017 100%
W-2 Managing EmployeeAdministrator Jul 5, 2017 100%
HLTC Inc Organization, Dalton, GA 5% Or Greater Direct Ownership Interest Jul 1, 2007
Hamilton Health Care System, Inc. Organization, Dalton, GA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 1999 100%
Dawn Pharr Individual W-2 Managing EmployeeDirector of Nursing Dec 6, 2017 100%

Owners & managing parties with NPI records 2

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

  • HLTC, Inc.
    • Skilled Nursing Facility
    • Dalton, GA
    • NPI 1134165079

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • HLTC, Inc.
    • Skilled Nursing Facility
    • Dalton, GA
    • NPI 1184653677

    5% Or Greater Direct Ownership Interest

    CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quinton Memorial Health and RehabilitationDalton, GA, CCN 115403 Skilled nursing facility Operational/Managerial Control (100%) Oct 1, 1997
Ridgewood Manor Health and RehabilititionDalton, GA, CCN 115341 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 8, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 2

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1477584886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202503",
            "telephone_number": "706-270-8008",
            "fax_number": "706-270-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202503",
            "telephone_number": "706-270-8008",
            "fax_number": "706-270-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HLTC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HLTC INC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "CARRAZANA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-270-8008"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-155-1591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51003598 001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000837207A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Park Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.