NPIMap

Organization Active NPI

Candler County II LTC LLC

Doing business as Orchard Health and Rehabilitation

  • Skilled Nursing Facility
  • Pulaski, GA
National Provider Identifier
1689631103
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-021-1899 Issued in GA
Legal business name
CANDLER COUNTY II LTC LLC
Doing business as
Orchard Health and Rehabilitation
Practice address
1321 Pulaski School Road
Pulaski, GA 30451-0118
Phone
(912) 685-5072
Fax
(912) 685-4024
NPI assigned
Apr 27, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Tracey Nelson
Title
Administrator
Phone
(912) 685-5072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-021-1899 GA Primary

Addresses

Primary practice location

1321 Pulaski School Road
Pulaski, GA 30451-0118

Mailing address

PO Box 118
Pulaski, GA 30451-0118
Phone (912) 685-5072

Other identifiers 1

IdentifierTypeStateIssuer
00142656AMedicaidGA

Other names 1

  • Orchard 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
O20070410000259 GA Part A Provider - Skilled Nursing Facility 4183729791 Practice locations: Pulaski, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689631103. Details of each certification follow.

Skilled nursing facility certification: CCN 115522

Legal name
CANDLER COUNTY II LTC LLC
Doing business as
ORCHARD HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1992
Last certification
Apr 3, 2025
Beds
89
Ownership / control type
Other Nonprofit
Multi-facility organization
Piedmont Regional Health
Organization structure
LLCNon-profit
Enrollment address
1321 Pulaski School Rd
Pulaski, GA 30451-0118
Nursing home name
ORCHARD HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Orchard Health and RehabilitationCCN 115522 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
May 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8968.4 residents per day on average
Chain
Ethica Health50 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $57,161

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Jun 19, 2025
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2025
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Maggie Jones Individual Operational/Managerial Control Jan 5, 2026
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Organization, Twin City, GA LLC, For-profit Adp of the SNF Nov 1, 2003
Tiffany Peavy Individual Operational/Managerial Control Jan 1, 2026
Managing Control - Governing BodyVice President of Operations Jan 1, 2026
Maulikkumar a Patel Individual Operational/Managerial Control Aug 1, 2023
Adp of the SNF Aug 1, 2023
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Nov 1, 2006
Adp of the SNF Nov 14, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2006 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Nov 1, 2025 100%
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Jun 19, 2025
Organization, Macon, GA LLC, Non-profit Adp of the SNF Jun 19, 2025
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Tracey D Nelson Individual Operational/Managerial Control May 29, 2026
Adp of the SNF May 29, 2026
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024

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 50

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

View all 50

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1689631103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "PULASKI",
            "state": "GA",
            "postal_code": "304510118",
            "telephone_number": "912-685-5072",
            "fax_number": "912-685-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 PULASKI SCHOOL ROAD",
            "city": "PULASKI",
            "state": "GA",
            "postal_code": "304510118",
            "telephone_number": "912-685-5072",
            "fax_number": "912-685-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER COUNTY II LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-685-5072"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-021-1899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142656A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pulaski, GA

Sources for this page

Verify at the official NPI Registry.