Summers Retirement, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-076-2068 Issued in GA

Legal business name

SUMMERS RETIREMENT, LLC

Practice address

200 S Kimberly Rd
Warner Robins, GA 31088-8721

Phone

(478) 293-4900

Fax

(478) 293-4892

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Deborah L Meade

Title

Member

Phone

(478) 328-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Lodge Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Skilled nursing facility certification: CCN 115552

Legal name

SUMMERS RETIREMENT LLC

Doing business as

THE LODGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1993

Last certification

Feb 16, 2025

Beds

106

Ownership / control type

Corporation

Multi-facility organization

Pruitthealth

Organization structure

LLCProprietary

Incorporated

Mar 4, 2002 in GA

Enrollment address

200 South Kimbely Rd
Warner Robins, GA 31088-8721

Nursing home name

PRUITTHEALTH - THE LODGE, LLC

Listed as

Pruitthealth - The Lodge, LLCCCN 115552

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Aug 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10677.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Facilities with the same owner 2

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

• Eastview Healthcare, LLC

  • Skilled Nursing Facility
  • Macon, GA
  • NPI 1336138528

  Health Management LLC

  CMS ownership
• Elberta Healthcare, LLC

  • Skilled Nursing Facility
  • Warner Robins, GA
  • NPI 1326037516

  Health Management LLC

  CMS ownership

Practitioners 2

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

• Mohammad N Al Shroof, M.D.

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1578519286
  NPD (past)
• Ravindraprasad J Shekarappa, M.D.

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1588606701
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mohammad N Al Shroof, M.D.

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1578519286

  Nursing home

  Care Compare affiliation
• Ravindraprasad J Shekarappa, M.D.

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1588606701

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1629458963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S KIMBERLY RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888721",
            "telephone_number": "478-293-4900",
            "fax_number": "478-293-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S KIMBERLY RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888721",
            "telephone_number": "478-293-4900",
            "fax_number": "478-293-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS RETIREMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "478-328-3800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-076-2068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000142381A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ladonna Marie Sturn, BEHAVIOR TECHNICIAN
• Veronica L Sudekum, MD
• Subhi Ibrahim Sulieman, M.D.
• Richard J Sullivan, M.D.
• Stephen D Summerow, O.D.
• Cheryl Summers
• Joseph G Sumrall, D.M.D.
• Joseph T. Sumrall Jr., D.D.S., P.C.
• Whitney B Sumrall, SPEECH THERAPY
• Sunrise Autism Therapies

• Skilled Nursing Facility in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.