Bainbridge Operator LLC
Organization Active NPI Skilled Nursing Facility · Bainbridge, GA
NPI 1508038696 · NPPES record last updated Jan 23, 2015
Key facts
- NPI
- 1508038696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1-043-1146 (GA)
- Legal business name
- BAINBRIDGE OPERATOR LLC
- Practice address
- 1155 W College St
Bainbridge, GA 39819-6400 - Phone
- (229) 243-0931
- Fax
- (229) 246-9284
- NPI assigned
- Mar 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Rebecca A. Grantham
- Title
- Administrator
- Phone
- (229) 243-0931
Corporate family (same tax ID) 1
Facilities with the same owner 38
Practitioners 3
-
Ugo Alexis Ireh, MD
-
Tameka Walker-Blake, M.D.
-
Elie Joseph Hercule, M.D.
Affiliated clinicians 3
-
James Sydney Cochran, M.D.
-
Ugo Alexis Ireh, MD
-
Elie Joseph Hercule, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Bainbridge Landing of Journey LLC
- 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
- For profit - Limited Liability company
- Certified
- Oct 1, 1984
- Medicare certification status
- Active
- Certified beds
- 100 · 65.9 residents per day on average
- Chain
- Journey Healthcare
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0265975 | Bainbridge Health and Rehab | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Skilled nursing facility certification: CCN 115324
- Legal name
- BAINBRIDGE OPERATOR LLC
- Doing business as
- BAINBRIDGE HEALTH AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1984
- Last certification
- Apr 10, 2025
- Beds
- 100
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Journey
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 4, 2008 in FL
- Enrollment address
- 1155 W College St
Bainbridge, GA 39819-6400 - Nursing home name
- BAINBRIDGE LANDING OF JOURNEY LLC
- Affiliated entity
- JOURNEY HEALTHCARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Stuart D Lindeman |
5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 5% |
| Corporate Officer |
Jan 1, 2015 | 100% | |
| Jamie Yoakum |
Corporate Officer |
Jan 16, 2024 | |
| Michelle Barnes |
W-2 Managing Employee |
Dec 1, 2018 | |
| Barres, LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 5% |
| GBD LLC |
5% Or Greater Direct Ownership Interest | Mar 4, 2008 | 100% |
| Joseph M Passero |
5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 5% |
| Scott N Feuer |
5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 45% |
| Mission Health of Georgia, LLC |
Operational/Managerial Control | Jan 1, 2015 | |
| T and C Capital Assets, LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 5% |
| Bryan L Crino |
5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 45% |
| Windward Health Partners LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 90% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080529000268 | GA | Part a Provider - Skilled Nursing Facility | 1153491451 | Practice locations: Bainbridge, GA |
National Provider Directory
- Tax ID family
- Bainbridge Health and Rehab
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1-043-1146 | GA | Yes |
Addresses
Primary practice location
1155 W College St
Bainbridge, GA 39819-6400
Mailing address
1155 W College St
Bainbridge, GA 39819-6400
Phone (229) 243-0931
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000258915A | Medicaid | GA |
Other names
- Bainbridge Health and Rehab
Other providers in Bainbridge, GA
- Bainbridge Eye Care, LLC
- Bainbridge Healthcare, LLC
- Bainbridge Home Medical, LLC
- Bainbridge Landing of Journey LLC
- Bainbridge Medical Associates, PC
- Bainbridge Pharmacy Inc.
- Bainbridge Pharmacy Inc.
- Bainbridge Vision Clinic Inc
- Ladonna M Bass
- Matikka Baulkman
All providers in Bainbridge, 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 Jan 23, 2015. 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.