NPIMap

Organization Active NPI

Marietta Ga Opco LLC

  • Skilled Nursing Facility
  • Marietta, GA
National Provider Identifier
1699494104
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MARIETTA GA OPCO LLC
Practice address
811 Kennesaw Ave NW
Marietta, GA 30060-1002
Phone
(770) 422-2451
NPI assigned
Aug 26, 2022
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Shlomo E Heller
Title
Member
Phone
(470) 737-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

811 Kennesaw Ave NW
Marietta, GA 30060-1002

Mailing address

811 Kennesaw Ave NW
Marietta, GA 30060-1002
Phone (770) 422-2451

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221130003016 GA Part A Provider - Skilled Nursing Facility 8426426107 Practice locations: Marietta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699494104. Details of each certification follow.

Skilled nursing facility certification: CCN 115206

Legal name
MARIETTA GA OPCO LLC
Doing business as
MARIETTA CENTER FOR NURSING AND HEALING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 1, 1977
Last certification
Feb 15, 2024
Beds
154
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Empire Care Centers LLC
Organization structure
LLCProprietary
Incorporated
May 24, 2022 in GA
Enrollment address
811 Kennesaw Ave NW
Marietta, GA 30060-1002
Nursing home name
MARIETTA CENTER FOR NURSING AND HEALING
Affiliated entity
EMPIRE CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Marietta Center for Nursing and HealingCCN 115206 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
154144.0 residents per day on average
Chain
Empire Care Centers20 facilities in the chain
Penalties (3 years)
2Fines totaling $7,901

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
11D0910585Marietta Ga Opco LLC811 Kennesaw Ave NW, Marietta, GA 30060Certificate of waiverDec 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Barry Donath Individual W-2 Managing EmployeeCfo Oct 1, 2022
Ga 2 Holdco LLC Organization, Lakewood, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2022 100%
Ensh Consulting LLC Organization, Brooklyn, NY LLC, Consulting firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2022 98%
Kristine U Aibangbee Individual W-2 Managing EmployeeAdministrator Oct 1, 2022
Operational/Managerial ControlAdministrator Oct 1, 2022
Shlomo E Heller Individual 5% Or Greater Indirect Ownership InterestCeo of Management Services Company Oct 1, 2022 50%
Corporate OfficerManager of the LLC Oct 1, 2022
Operational/Managerial ControlManager of the LLC Oct 1, 2022
Ephraim Nussbaum Individual 5% Or Greater Indirect Ownership InterestPresident of MGMT Services Company Oct 1, 2022 50%
Operational/Managerial ControlPresident of Management Services Co Oct 1, 2022
Empire Care Centers LLC Organization, Lakewood, NJ LLC, Management services company, For-profit Operational/Managerial Control Oct 1, 2022

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 5

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 4

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": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1699494104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 KENNESAW AVE NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601002",
            "telephone_number": "770-422-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 KENNESAW AVE NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601002",
            "telephone_number": "770-422-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA GA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "470-737-0111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.