Organization Active NPI

A. G. Rhodes Home, Cobb Inc.

  • Skilled Nursing Facility
  • Marietta, GA
National Provider Identifier
1689671679
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-033-1268 Issued in GA
Legal business name
A. G. RHODES HOME, COBB INC.
Practice address
900 Wylie Rd SE
Marietta, GA 30067-7857
Phone
(770) 427-8727
Fax
(770) 427-3937
NPI assigned
Jul 5, 2005
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Mr. Angela Daugherty
Title
Administrator
Phone
(770) 427-8727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-033-1268 GA Primary

Addresses

Primary practice location

900 Wylie Rd SE
Marietta, GA 30067-7857

Mailing address

900 Wylie Rd SE
Marietta, GA 30067-7857
Phone (770) 427-8727

Other identifiers 1

IdentifierTypeStateIssuer
00493292AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060207000194 GA Part A Provider - Skilled Nursing Facility 9931114345 Practice locations: Marietta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689671679. Details of each certification follow.

Skilled nursing facility certification: CCN 115521

Legal name
A G RHODES HOME COBB INC
Doing business as
A G RHODES HOME COBB INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1992
Last certification
Jul 25, 2024
Beds
130
Ownership / control type
Nonprofit Corporation
Multi-facility organization
A.G. Rhodes Home
Organization structure
CorporationNon-profit
Enrollment address
900 Wylie Rd SE
Marietta, GA 30067-7857
Nursing home name
A.G. RHODES HOME, INC - COBB

Care Compare: Nursing home

Medicare Care Compare
Listed as
A.G. Rhodes Home, Inc - CobbCCN 115521 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130120.5 residents per day on average

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
11D0872313A G Rhodes Home Inc Cobb900 Wylie Road, Marietta, GA 30067Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

900 Wylie Rd SE
Marietta, GA 30067
Phone (770) 427-8727

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
Jonelle Thomas Individual Operational/Managerial Control Nov 18, 2010
Adp of the SNF Nov 18, 2010
Christina Phangestu Individual Corporate OfficerChief Financial Officer Jun 6, 2023
Adp of the SNF Jun 26, 2023
Ep Wealth Advisors LLC Organization, Torrance, CA Investment firm Adp of the SNF Jan 1, 2003
Sonya Williams Individual Operational/Managerial Control Jan 5, 2015
Harmon Physical Plant Consulting LLC Organization, Butler, GA Consulting firm Adp of the SNF Sep 13, 2021
Diana Wright Individual Operational/Managerial Control May 8, 2024
Adp of the SNF May 8, 2024
Mauldin & Jenkins LLC Organization, Atlanta, GA Consulting firm Adp of the SNF Jul 1, 2011
Keith Wilson Individual Corporate OfficerChief Operating Officer Aug 1, 2019
Adp of the SNF Aug 1, 2019
Mary Helton Individual Corporate OfficerChief Human Resources Officer Aug 16, 2021
Adp of the SNF Aug 16, 2021
Pruitthealth Inc Organization, Toccoa, GA Medical provider/supplier Adp of the SNF Dec 1, 2007
Timothy J Powell Individual Operational/Managerial Control Mar 29, 2023
Angel Carmelo Rolon Individual Operational/Managerial Control Dec 29, 2004
Justin Lenning Individual Corporate DirectorDirector of Information Technology Aug 1, 2014
Adp of the SNF Aug 1, 2014
Aegis Therapies, Inc. Organization, Atlanta, GA Operational/Managerial Control Jun 1, 2018
Adp of the SNF Apr 8, 2025
Ariana Minor Individual Corporate DirectorDirector of Clinical Services Feb 7, 2023
Adp of the SNF Feb 7, 2023
Wellstar Medical Group LLC Organization, Smyrna, GA Medical provider/supplier Adp of the SNF Jun 5, 2017
Roselyn Charles Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Jovonne Harvey Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Tammy Luther Individual Corporate DirectorDirector of Compliance Jan 1, 2020
Adp of the SNF Jan 1, 2020
Ag Rhodes Health and Rehab MGT Inc Organization, Atlanta, GA Management services company Adp of the SNF Jul 1, 2012
Deke Cateau Individual Corporate OfficerChief Executive Officer Feb 1, 2018
Adp of the SNF Feb 1, 2018
Ameris Bank Organization, Atlanta, GA Financial institution Operational/Managerial Control Jul 1, 2023
Adp of the SNF Apr 1, 2025
Unidine Corporation Organization, Charlotte, NC Corporation, For-profit Operational/Managerial Control Nov 17, 2017
Adp of the SNF Apr 1, 2025
Care Solutions Organization, Atlanta, GA Medical staffing company General Partnership Interest Sep 15, 2022
Travette Fagundes Individual Operational/Managerial Control Mar 18, 2020
Adp of the SNF Mar 18, 2020

Owners & managing parties with NPI records 3

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

Facilities with the same owner 10

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

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.

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": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1689671679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WYLIE RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677857",
            "telephone_number": "770-427-8727",
            "fax_number": "770-427-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WYLIE RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677857",
            "telephone_number": "770-427-8727",
            "fax_number": "770-427-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. G. RHODES HOME, COBB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-427-8727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-033-1268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00493292A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.