Organization Active NPI

Fulton Center for Rehabilitation LLC

  • Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1629545975
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FULTON CENTER FOR REHABILITATION LLC
Practice address
2850 Springdale Rd SW
Atlanta, GA 30315-7802
Phone
(404) 762-8672
NPI assigned
Oct 25, 2018
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Shlomo Heller
Title
Authorized Official
Phone
(470) 737-0111

Specialties & licenses 1

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

Addresses

Primary practice location

2850 Springdale Rd SW
Atlanta, GA 30315-7802

Mailing address

2850 Springdale Rd SW
Atlanta, GA 30315-7802

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190102001356 GA Part A Provider - Skilled Nursing Facility 2163767674 Practice locations: Atlanta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629545975. Details of each certification follow.

Skilled nursing facility certification: CCN 115569

Legal name
FULTON CENTER FOR REHABILITATION LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 15, 1994
Last certification
May 1, 2025
Beds
109
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Empire Care Centers
Most recent change of ownership
Dec 1, 2018
Organization structure
LLCProprietary
Incorporated
Sep 27, 2018 in GA
Enrollment address
2850 Springdale Rd SW
Atlanta, GA 30315-7802
Nursing home name
FULTON CENTER FOR REHABILITATION LLC
Affiliated entity
EMPIRE CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fulton Center for Rehabilitation LLCCCN 115569 · 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 - Limited Liability company
Certified
Apr 15, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10998.8 residents per day on average
Chain
Empire Care Centers20 facilities in the chain
Penalties (3 years)
1Fines totaling $105,368

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
11D0259296Fulton Center for Rehabilitation LLC2850 Springdale Road Southwest, Atlanta, GA 30315Certificate of waiverJun 7, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 36

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

NameRoleSinceShare
Matthew Tolbert Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Individual Indirect Ownership Interest Oct 13, 2022 2.5%
Carl Brock Individual Operational/Managerial Control Apr 29, 2025
Adp of the SNF Apr 29, 2025
Barry Donath Individual Operational/Managerial Control Jun 7, 2021
Managing Control - Governing BodyCfo Jun 7, 2021
Adp of the SNF Jun 7, 2021
Darryl S. Pipkin Individual Operational/Managerial Control Dec 1, 2018
Adp of the SNF Dec 1, 2018
Ensh Consulting LLC Organization, Brooklyn, NY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 13, 2022 46.76%
Adp of the SNF Oct 13, 2022
Yyes Op LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 19, 2019 100%
Gladys Sone-Ebeloue Individual Operational/Managerial Control Nov 24, 2020
Adp of the SNF Nov 24, 2020
Individual Indirect Ownership Interest Oct 13, 2022 2%
Karlene Foster Individual Operational/Managerial Control Jan 14, 2025
Adp of the SNF Jan 14, 2025
Starlight Healthcare LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 13, 2022 17%
Adp of the SNF Oct 13, 2022
Michael Berkowitz Individual 5% Or Greater Indirect Ownership Interest Oct 13, 2022 8.66%
Adp of the SNF Oct 13, 2022
Yw Georgia 4 LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 13, 2022 18%
Adp of the SNF Oct 13, 2022
Ggi Equities LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 13, 2022 8.66%
Adp of the SNF Oct 13, 2022
Leanthony a Hardy Individual Operational/Managerial Control May 1, 2022
Adp of the SNF May 1, 2022
Individual Adp of the SNF Apr 1, 2024
Organization, Lakewood, NJ LLC, For-profit Adp of the SNF Aug 19, 2019
Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Aug 19, 2019 2%
Takima Welch Individual Operational/Managerial Control Apr 30, 2024
Adp of the SNF Apr 30, 2024
Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Aug 19, 2019
Kimberly Michelle Wilcox Individual Operational/Managerial Control Feb 27, 2026
Adp of the SNF Feb 27, 2026
Shlomo E Heller Individual 5% Or Greater Indirect Ownership Interest Oct 13, 2022 23.38%
Operational/Managerial ControlOwner Aug 19, 2019
Managing Control - Governing BodyCeo Aug 19, 2019
Adp of the SNF Aug 19, 2019
Shelia T Campbell Individual Operational/Managerial Control Nov 22, 2021
Adp of the SNF Nov 22, 2021
Teska Guyton Individual Operational/Managerial Control Feb 4, 2025
Adp of the SNF Feb 4, 2025
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Oct 13, 2022 3.58%
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Jul 1, 2025
Jacob Stern Individual Indirect Ownership Interest Oct 13, 2022 0.85%
Ephraim Nussbaum Individual 5% Or Greater Indirect Ownership Interest Oct 13, 2022 23.38%
Operational/Managerial ControlOwner Aug 19, 2019
Managing Control - Governing BodyPresident Aug 19, 2019
Adp of the SNF Aug 19, 2019
Renee Ellis Individual Operational/Managerial Control Oct 21, 2020
Adp of the SNF Oct 21, 2020
Empire Care Centers LLC Organization, Brooklyn, NY LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Aug 19, 2019
Adp of the SNF Apr 27, 2026
Aryeh L Swerdloff Individual Operational/Managerial Control Mar 20, 2020
Adp of the SNF Mar 20, 2020
Nikki Anthony Individual Operational/Managerial Control May 4, 2022
Adp of the SNF May 4, 2022
Dwanique Dieudonne Individual Operational/Managerial Control Nov 12, 2024
Adp of the SNF Nov 12, 2024
Organization, Brooklyn, NY LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Oct 13, 2022 1.5%
Yehuda Wolmark Individual 5% Or Greater Indirect Ownership Interest Oct 13, 2022 18%
Adp of the SNF Oct 13, 2022
Individual Indirect Ownership Interest Oct 13, 2022 3.58%

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 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 1

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": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1629545975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SPRINGDALE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SPRINGDALE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157802",
            "telephone_number": "404-762-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON CENTER FOR REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "470-737-0111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.