Oaks Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1094120 Issued in GA

Legal business name

OAKS NURSING HOME INC

Practice address

777 Nursing Home Rd
Marshallville, GA 31057-3715

Phone

(478) 967-2223

Fax

(478) 967-2224

NPI assigned

Jul 5, 2006

Last updated

Feb 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Jule Windham

Title

Owner/ Operator - Administrator

Phone

(478) 967-2223

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Oaks Nursing Home, Inc. Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669403036. Details of each certification follow.

• CCN 115627 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 115627

Legal name

OAKS NURSING HOME, INC.

Doing business as

THE OAKS NURSING HOME INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 14, 1997

Last certification

Jan 21, 2024

Beds

60

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 1, 1980 in GA

Enrollment address

777 Nursing Home Road
Marshallville, GA 31057-3715

Nursing home name

OAKS NURSING HOME, INC, THE

Listed as

Oaks Nursing Home, Inc, theCCN 115627 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 14, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6053.4 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

Tax ID family

Oaks Nursing Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Oaks Nursing Home, Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Hawkinsville, GA
  • NPI 1407052202
  NPD tax ID

All disclosed owners & managing parties 5

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Oaks Nursing Home, Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Hawkinsville, GA
  • NPI 1407052202
  NPPES parent name

Practitioners 2

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.

• Richard K Chase, D.O.

  • Family Medicine Physician
  • Oglethorpe, GA
  • NPI 1699718411
  NPD (past)
• Christopher Roderick Inhulsen, M.D.

  • Family Medicine Physician
  • Oglethorpe, GA
  • NPI 1396788592
  NPD (past)

Affiliated clinicians 2

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

• Richard K Chase, D.O.

  • Family Medicine Physician
  • Oglethorpe, GA
  • NPI 1699718411

  Nursing home

  Care Compare affiliation
• Christopher Roderick Inhulsen, M.D.

  • Family Medicine Physician
  • Oglethorpe, GA
  • NPI 1396788592

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1669403036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NURSING HOME RD",
            "city": "MARSHALLVILLE",
            "state": "GA",
            "postal_code": "310573715",
            "telephone_number": "478-967-2223",
            "fax_number": "478-967-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NURSING HOME RD",
            "city": "MARSHALLVILLE",
            "state": "GA",
            "postal_code": "310573715",
            "telephone_number": "478-967-2223",
            "fax_number": "478-967-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKS NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JULE",
        "authorized_official_title_or_position": "OWNER/ OPERATOR - ADMINISTRATOR",
        "authorized_official_telephone_number": "478-967-2223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1094120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142271A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks Nursing Home, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Richard Crowe, LPN
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• Lashayna D Patterson, LPTA
• Dana Riles

• Skilled Nursing Facility in Marshallville, GA
• Providers in Marshallville, 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 Feb 13, 2014; 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.