North Georgia Care Services, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-057-1743 Issued in GA

Legal business name

NORTH GEORGIA CARE SERVICES, INC

Doing business as

Fifth Avenue Health Care

Practice address

505 N 5TH Ave SW
Rome, GA 30165-2822

Phone

(706) 291-0521

Fax

(706) 234-3508

NPI assigned

Aug 2, 2005

Last updated

Dec 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew J. Morris III

Title

Chairman of Board

Phone

(706) 378-0940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FIFTH AVENUE HEALTH CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760483606. Details of each certification follow.

• CCN 115319 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 115319

Legal name

NORTH GEORGIA CARE SERVICES INC

Doing business as

FIFTH AVENUE HEALTH CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 13, 1983

Last certification

Jun 21, 2024

Beds

100

Ownership / control type

Corporation

Multi-facility organization

SELECT HEALTH CARE, LLC

Organization structure

CorporationProprietary

Incorporated

Mar 11, 2003 in GA

Enrollment address

505 N 5TH Ave SW
Rome, GA 30165-2822

Nursing home name

FIFTH AVENUE HEALTH CARE

Affiliated entity

RELIABLE HEALTH CARE MANAGEMENT

Listed as

Fifth Avenue Health CareCCN 115319 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 13, 1983

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10068.7 residents per day on average

Chain

Reliable Health Care Management6 facilities in the chain

Penalties (3 years)

2Fines totaling $8,512

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

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

• Shelle Rae Glover, M.D.

  • Family Medicine Physician
  • Rome, GA
  • NPI 1003110743

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Shelle Rae Glover, M.D.

  • Family Medicine Physician
  • Rome, GA
  • NPI 1003110743
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shelle Rae Glover, M.D.

  • Family Medicine Physician
  • Rome, GA
  • NPI 1003110743

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1760483606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N 5TH AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652822",
            "telephone_number": "706-291-0521",
            "fax_number": "706-234-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N 5TH AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652822",
            "telephone_number": "706-291-0521",
            "fax_number": "706-234-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHAIRMAN OF BOARD",
        "authorized_official_telephone_number": "706-378-0940",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-057-1743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00140984A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIFTH AVENUE HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nina Anzie Emeline Nguimbous, NP-C
• Thanh T. Nguyen, PA
• Uyen Nguyen
• Donald Eric Nichols, PTA
• Ezekiel Nnam, MD
• North Georgia Nephrology Associates PC
• North Heights Pharmacy Inc (Medicine Shoppe)
• Northeast Pharmaceuticals, Inc.
• Northland Hearing Centers, Inc. (Audibel Hearing Aid Center)
• Northwest Ga Health District 1-1

• Skilled Nursing Facility in Rome, GA
• Providers in Rome, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.

Verify at the official NPI Registry.