Active NPI
Fulton Center for Rehabilitation LLC
- Skilled Nursing Facility
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 15, 1994
- Medicare certification status
- Active
- Certified beds
- 109
- Chain
- Empire Care Centers
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0259296 | Fulton Center for Rehabilitation LLC | Certificate of waiver | Jun 7, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew Tolbert | Operational/Managerial Control | Nov 1, 2025 | |
| Adp of the SNF | Nov 1, 2025 | ||
| Indirect Ownership Interest | Oct 13, 2022 | 2.5% | |
| Carl Brock | Operational/Managerial Control | Apr 29, 2025 | |
| Adp of the SNF | Apr 29, 2025 | ||
| Barry Donath | Operational/Managerial Control | Jun 7, 2021 | |
| Managing Control - Governing Body | Jun 7, 2021 | ||
| Adp of the SNF | Jun 7, 2021 | ||
| Darryl S. Pipkin | Operational/Managerial Control | Dec 1, 2018 | |
| Adp of the SNF | Dec 1, 2018 | ||
| Ensh Consulting LLC | 5% Or Greater Indirect Ownership Interest | Oct 13, 2022 | 46.76% |
| Adp of the SNF | Oct 13, 2022 | ||
| Yyes Op LLC | 5% Or Greater Direct Ownership Interest | Aug 19, 2019 | 100% |
| Gladys Sone-Ebeloue | Operational/Managerial Control | Nov 24, 2020 | |
| Adp of the SNF | Nov 24, 2020 | ||
| Indirect Ownership Interest | Oct 13, 2022 | 2% | |
| Karlene Foster | Operational/Managerial Control | Jan 14, 2025 | |
| Adp of the SNF | Jan 14, 2025 | ||
| Starlight Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Oct 13, 2022 | 17% |
| Adp of the SNF | Oct 13, 2022 | ||
| Michael Berkowitz | 5% Or Greater Indirect Ownership Interest | Oct 13, 2022 | 8.66% |
| Adp of the SNF | Oct 13, 2022 | ||
| Yw Georgia 4 LLC | 5% Or Greater Indirect Ownership Interest | Oct 13, 2022 | 18% |
| Adp of the SNF | Oct 13, 2022 | ||
| Ggi Equities LLC | 5% Or Greater Indirect Ownership Interest | Oct 13, 2022 | 8.66% |
| Adp of the SNF | Oct 13, 2022 | ||
| Leanthony a Hardy | Operational/Managerial Control | May 1, 2022 | |
| Adp of the SNF | May 1, 2022 | ||
| Adp of the SNF | Apr 1, 2024 | ||
| Adp of the SNF | Aug 19, 2019 | ||
| Indirect Ownership Interest | Aug 19, 2019 | 2% | |
| Takima Welch | Operational/Managerial Control | Apr 30, 2024 | |
| Adp of the SNF | Apr 30, 2024 | ||
| Adp of the SNF | Aug 19, 2019 | ||
| Kimberly Michelle Wilcox | Operational/Managerial Control | Feb 27, 2026 | |
| Adp of the SNF | Feb 27, 2026 | ||
| Shlomo E Heller | 5% Or Greater Indirect Ownership Interest | Oct 13, 2022 | 23.38% |
| Operational/Managerial Control | Aug 19, 2019 | ||
| Managing Control - Governing Body | Aug 19, 2019 | ||
| Adp of the SNF | Aug 19, 2019 | ||
| Shelia T Campbell | Operational/Managerial Control | Nov 22, 2021 | |
| Adp of the SNF | Nov 22, 2021 | ||
| Teska Guyton | Operational/Managerial Control | Feb 4, 2025 | |
| Adp of the SNF | Feb 4, 2025 | ||
| Indirect Ownership Interest | Oct 13, 2022 | 3.58% | |
| Adp of the SNF | Jul 1, 2025 | ||
| Jacob Stern | Indirect Ownership Interest | Oct 13, 2022 | 0.85% |
| Ephraim Nussbaum | 5% Or Greater Indirect Ownership Interest | Oct 13, 2022 | 23.38% |
| Operational/Managerial Control | Aug 19, 2019 | ||
| Managing Control - Governing Body | Aug 19, 2019 | ||
| Adp of the SNF | Aug 19, 2019 | ||
| Renee Ellis | Operational/Managerial Control | Oct 21, 2020 | |
| Adp of the SNF | Oct 21, 2020 | ||
| Empire Care Centers LLC | Operational/Managerial Control | Aug 19, 2019 | |
| Adp of the SNF | Apr 27, 2026 | ||
| Aryeh L Swerdloff | Operational/Managerial Control | Mar 20, 2020 | |
| Adp of the SNF | Mar 20, 2020 | ||
| Nikki Anthony | Operational/Managerial Control | May 4, 2022 | |
| Adp of the SNF | May 4, 2022 | ||
| Dwanique Dieudonne | Operational/Managerial Control | Nov 12, 2024 | |
| Adp of the SNF | Nov 12, 2024 | ||
| Indirect Ownership Interest | Oct 13, 2022 | 1.5% | |
| Yehuda Wolmark | 5% Or Greater Indirect Ownership Interest | Oct 13, 2022 | 18% |
| Adp of the SNF | Oct 13, 2022 | ||
| 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.
-
- Internal Medicine Physician
- Morrow, GA
- NPI 1629053277
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 44
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Austell, GA
- NPI 1922740489
Empire Care Centers LLC
-
- Skilled Nursing Facility
- Atlanta, GA
- NPI 1164141677
Empire Care Centers LLC, Ensh Consulting LLC
-
- Skilled Nursing Facility
- Canton, GA
- NPI 1033877899
Empire Care Centers LLC, Ensh Consulting LLC
-
- Skilled Nursing Facility
- Cartersville, GA
- NPI 1437702396
Empire Care Centers LLC, Ensh Consulting LLC, Starlight Healthcare LLC, Yw Georgia 4 LLC, Yyes Op LLC
-
- Skilled Nursing Facility
- Canton, GA
- NPI 1295477750
Empire Care Centers LLC
-
dba Westbury Center of Conyers for Nursing and Healing
- Skilled Nursing Facility
- Conyers, GA
- NPI 1265011357
Empire Care Centers LLC, Ensh Consulting LLC
-
- Skilled Nursing Facility
- Decatur, GA
- NPI 1972215671
Empire Care Centers LLC, Ensh Consulting LLC
-
- Skilled Nursing Facility
- Douglasville, GA
- NPI 1205700218
Empire Care Centers LLC, Ensh Consulting LLC
-
- Skilled Nursing Facility
- Marietta, GA
- NPI 1063124766
Empire Care Centers LLC, Ensh Consulting LLC
-
- Skilled Nursing Facility
- Fayetteville, GA
- NPI 1760061840
Empire Care Centers LLC, Ensh Consulting LLC
-
- Skilled Nursing Facility
- Winder, GA
- NPI 1164168860
Empire Care Centers LLC, Ensh Consulting LLC
-
dba Westbury Center of Jackson for Nursing and Healing
- Skilled Nursing Facility
- Jackson, GA
- NPI 1073192167
Empire Care Centers LLC
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.
-
- Internal Medicine Physician
- Riverdale, GA
- NPI 1144226135
-
- Internal Medicine Physician
- Morrow, GA
- NPI 1629053277
-
- Internal Medicine Physician
- Riverdale, GA
- NPI 1598384224
-
- Hospitalist Physician
- Columbia, SC
- NPI 1760653612
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
- Richard Fullerton, MD
- Teawka Fullmore, NP-C
- Tyler Fullwood
- Jyotsna Fuloria, MD
- Brenda L. Fulp, RN, ED.S., LPC
- Fulton County Board of Health (North Fulton Service Center)
- Fulton County Board of Health (Fulton County Public Health at 10 Park Place)
- Fulton County Board of Health (Neighborhood Union Health Center)
- Fulton County Board of Health (Center for Health & Rehabilitation Services)
- Fulton County Board of Health (Oak Hill Child, Adolescent and Family Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.