Active NPI
A. G. Rhodes Home, Cobb Inc.
- Skilled Nursing Facility
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1-033-1268
- 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, 2012
- 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
- Mr. Angela Daugherty
- Title
- Administrator
- Phone
- (770) 427-8727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00493292A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 - Cobb
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 1, 1992
- Medicare certification status
- Active
- Certified beds
- 130
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 |
|---|---|---|---|
| 11D0872313 | A G Rhodes Home Inc Cobb | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jonelle Thomas | Operational/Managerial Control | Nov 18, 2010 | |
| Adp of the SNF | Nov 18, 2010 | ||
| Christina Phangestu | Corporate Officer | Jun 6, 2023 | |
| Adp of the SNF | Jun 26, 2023 | ||
| Ep Wealth Advisors LLC | Adp of the SNF | Jan 1, 2003 | |
| Sonya Williams | Operational/Managerial Control | Jan 5, 2015 | |
| Harmon Physical Plant Consulting LLC | Adp of the SNF | Sep 13, 2021 | |
| Diana Wright | Operational/Managerial Control | May 8, 2024 | |
| Adp of the SNF | May 8, 2024 | ||
| Mauldin & Jenkins LLC | Adp of the SNF | Jul 1, 2011 | |
| Keith Wilson | Corporate Officer | Aug 1, 2019 | |
| Adp of the SNF | Aug 1, 2019 | ||
| Mary Helton | Corporate Officer | Aug 16, 2021 | |
| Adp of the SNF | Aug 16, 2021 | ||
| Pruitthealth Inc | Adp of the SNF | Dec 1, 2007 | |
| Timothy J Powell | Operational/Managerial Control | Mar 29, 2023 | |
| Angel Carmelo Rolon | Operational/Managerial Control | Dec 29, 2004 | |
| Justin Lenning | Corporate Director | Aug 1, 2014 | |
| Adp of the SNF | Aug 1, 2014 | ||
| Aegis Therapies, Inc. | Operational/Managerial Control | Jun 1, 2018 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Ariana Minor | Corporate Director | Feb 7, 2023 | |
| Adp of the SNF | Feb 7, 2023 | ||
| Wellstar Medical Group LLC | Adp of the SNF | Jun 5, 2017 | |
| Roselyn Charles | Operational/Managerial Control | Nov 1, 2024 | |
| Adp of the SNF | Nov 1, 2024 | ||
| Jovonne Harvey | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Tammy Luther | Corporate Director | Jan 1, 2020 | |
| Adp of the SNF | Jan 1, 2020 | ||
| Ag Rhodes Health and Rehab MGT Inc | Adp of the SNF | Jul 1, 2012 | |
| Deke Cateau | Corporate Officer | Feb 1, 2018 | |
| Adp of the SNF | Feb 1, 2018 | ||
| Ameris Bank | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Unidine Corporation | Operational/Managerial Control | Nov 17, 2017 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Care Solutions | General Partnership Interest | Sep 15, 2022 | |
| Travette Fagundes | 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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Adp of the SNF
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
Adp of the SNF
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Maysville, KY
- NPI 1912370644
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Nursing Home Administrator
- Atlanta, GA
- NPI 1386648962
Aegis Therapies, Inc., Unidine Corporation
-
- Skilled Nursing Facility
- Atlanta, GA
- NPI 1821091463
Unidine Corporation
-
dba Sterling Village
- Skilled Nursing Facility
- Sterling, KS
- NPI 1861044430
Aegis Therapies, Inc.
-
dba Laurel View Village
- Skilled Nursing Facility
- Davidsville, PA
- NPI 1982679437
Unidine Corporation
-
dba Epworth Villa
- Nursing Facility/Intermediate Care Facility
- Oklahoma City, OK
- NPI 1114922598
Unidine Corporation
-
- Nursing Facility/Intermediate Care Facility
- Weatherford, OK
- NPI 1306809884
Aegis Therapies, Inc.
-
dba Davis Health and Wellness at Cambridge Village
- Skilled Nursing Facility
- Wilmington, NC
- NPI 1841697422
Unidine Corporation
-
- Skilled Nursing Facility
- Baltimore, MD
- NPI 1821218066
Unidine Corporation
-
- Skilled Nursing Facility
- Albany, NY
- NPI 1578550653
Unidine Corporation
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.
-
- Family Medicine Physician
- Smyrna, GA
- NPI 1699923169
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
- A New Dawn Turning Point, LLC
- A One Home Care Services, Inc
- A Peace of Mind Adult Day Health Care Center, Inc.
- A Place of Purpose, Inc.
- A Purpose Life Counseling, LLC
- A.C.E. Community Support Services, LLC
- A/B Hospice, LLC (Affinity Hospice)
- A&E Group
- A&W Family Chiropractic, Inc
- A1 Management Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.