NPIMap

Organization Active NPI

Gordon Health Care Center LLC

Doing business as Gordon Health and Rehabilitation

  • Skilled Nursing Facility
  • Calhoun, GA
National Provider Identifier
1669408431
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-064-1779 Issued in GA
Legal business name
GORDON HEALTH CARE CENTER LLC
Doing business as
Gordon Health and Rehabilitation
Practice address
1280 Mauldin Rd NW
Calhoun, GA 30701-8615
Phone
(706) 625-0044
Fax
(706) 602-1931
NPI assigned
Jun 24, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Frederick Washington
Title
Administrator
Phone
(706) 625-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-064-1779 GA Primary

Addresses

Primary practice location

1280 Mauldin Rd NW
Calhoun, GA 30701-8615

Mailing address

PO Box 789
Calhoun, GA 30703-0789
Phone (706) 625-0044

Other identifiers 2

IdentifierTypeStateIssuer
000202848AMedicaidGA
51000927 001OtherBCBS

Other names 1

  • Gordon Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030707000020 GA Part A Provider - Skilled Nursing Facility 6709796634 Practice locations: Calhoun, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669408431. Details of each certification follow.

Skilled nursing facility certification: CCN 115584

Legal name
GORDON HEALTH CARE CENTER LLC
Doing business as
GORDON HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1995
Last certification
Apr 13, 2025
Beds
117
Ownership / control type
Other Nonprofit
Multi-facility organization
Health Scholarships
Organization structure
LLCNon-profit
Incorporated
Mar 13, 2003 in GA
Enrollment address
1280 Mauldin Rd NW
Calhoun, GA 30701-8615
Nursing home name
GORDON HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gordon Health and RehabilitationCCN 115584 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jul 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
117114.3 residents per day on average
Chain
Ethica Health50 facilities in the chain

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
11D0859153Gordon Health & Rehabilitation1280 Mauldin Road NE, Calhoun, GA 30701Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Individual Adp of the SNF Jan 1, 2025
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Frederick Washington Individual Operational/Managerial Control Sep 5, 2023
Adp of the SNF Sep 3, 2025
Individual Adp of the SNF Jan 1, 2024
Wyatt K Blake Individual Operational/Managerial Control Jul 16, 2013
Adp of the SNF Jul 16, 2013
Organization, Gray, GA Corporation, For-profit Adp of the SNF Jan 1, 1997
Tammy Wilson Individual Operational/Managerial Control Mar 18, 2019
Reno D Lambert Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDVP Sep 1, 2023
Individual Adp of the SNF Sep 24, 2024
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Sep 3, 2025
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Individual Adp of the SNF Jan 1, 2024
Organization, Macon, GA LLC, Holding company, Non-profit Adp of the SNF Sep 3, 2025
Individual Adp of the SNF Jan 1, 2024
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2019 100%
Adp of the SNF Sep 3, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Mar 14, 2003 100%
Health Scholarships Inc Organization, Gray, GA Holding company, Non-profit Direct Ownership Interest Mar 13, 2003 100%
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Sep 3, 2025
Individual Adp of the SNF Jan 1, 2024
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Sep 3, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1669408431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307030789",
            "telephone_number": "706-625-0044",
            "fax_number": "706-602-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 MAULDIN RD NW",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307018615",
            "telephone_number": "706-625-0044",
            "fax_number": "706-602-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-625-0044"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-064-1779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000202848A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51000927 001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.