Organization Active NPI

MGHP-Brentwood LLC

  • Skilled Nursing Facility
  • Waynesboro, GA
National Provider Identifier
1811698590
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MGHP-BRENTWOOD LLC
Practice address
115 Brentwood Dr
Waynesboro, GA 30830-4519
Phone
(706) 554-4425
NPI assigned
Mar 10, 2023
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
David A Parker
Title
Member of LLC
Phone
(678) 480-7564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

115 Brentwood Dr
Waynesboro, GA 30830-4519

Mailing address

115 Brentwood Dr
Waynesboro, GA 30830-4519
Phone (706) 554-4425

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230502003245 GA Part A Provider - Skilled Nursing Facility 9234594920 Practice locations: Waynesboro, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811698590. Details of each certification follow.

Skilled nursing facility certification: CCN 115361

Legal name
MGHP-BRENTWOOD LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1989
Last certification
Jun 15, 2025
Beds
103
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
115 Brentwood Dr
Waynesboro, GA 30830-4519
Nursing home name
BRENTWOOD HEALTH CENTER BY HARBORVIEW
Affiliated entity
HARBORVIEW HEALTH SYSTEMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brentwood Health Center by HarborviewCCN 115361 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10395.3 residents per day on average
Chain
Harborview Health Systems22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Spencer Windham Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 12.5%
Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Indirect Ownership Interest May 1, 2023 12.5%
Windcorp Consultants LLC Organization, Marshallville, GA LLC, Consulting firm, For-profit Adp of the SNF May 1, 2023
David Andrew Parker Individual 5% Or Greater Indirect Ownership InterestCfo May 1, 2023
Operational/Managerial ControlCfo May 1, 2023
Adp of the SNF May 1, 2023
Indirect Ownership Interest May 1, 2023 12.5%
William C Davis Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 12.5%
Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Indirect Ownership Interest May 1, 2023 12.5%
Individual Adp of the SNF May 1, 2023
MGHP Re Brentwood LLC Organization, Eatonton, GA LLC, Holding company, For-profit Adp of the SNF May 1, 2023
Individual Adp of the SNF May 1, 2023
Parker Financial Solutions, LLC Organization, Smyrna, GA LLC, Consulting firm, For-profit Adp of the SNF May 1, 2023
Crossroads Medical Management, Inc. Organization, Perry, GA Corporation, Consulting firm, For-profit Adp of the SNF May 1, 2023
David Orne Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 12.5%
Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Indirect Ownership Interest May 1, 2023 12.5%
James R Westbury Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 25%
Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Indirect Ownership Interest May 1, 2023 25%
Ashton Windham Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 12.5%
Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Indirect Ownership Interest May 1, 2023 12.5%
Elise Stafford Individual Adp of the SNF Feb 9, 2024
William C Davis III Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 12.5%
Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Indirect Ownership Interest May 1, 2023 12.5%
Mid Ga Health Properties LLC Organization, Eatonton, GA LLC, Holding company, For-profit Adp of the SNF May 1, 2023
Direct Ownership Interest May 1, 2023 100%
Davis & Cleveland Cpas, LLC Organization, Gray, GA LLC, For-profit Adp of the SNF May 1, 2023

Practitioners & affiliated clinicians

Practitioners 2

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": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1811698590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BRENTWOOD DR",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308304519",
            "telephone_number": "706-554-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRENTWOOD DR",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308304519",
            "telephone_number": "706-554-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGHP-BRENTWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "678-480-7564"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, GA

Sources for this page

Verify at the official NPI Registry.