NPIMap

Organization Active NPI

Meadows Park Health & Rehabilitation LLC

Doing business as Meadows Park Health and Rehabilitation

  • Skilled Nursing Facility
  • Vidalia, GA
National Provider Identifier
1821482696
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEADOWS PARK HEALTH & REHABILITATION LLC
Doing business as
Meadows Park Health and Rehabilitation
Practice address
119 Meadows Pkwy W
Vidalia, GA 30474-5666
Phone
(912) 403-3400
NPI assigned
Mar 19, 2015
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Rachael Parker
Title
Administrator
Phone
(912) 403-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

119 Meadows Pkwy W
Vidalia, GA 30474-5666

Mailing address

119 Meadows Pkwy W
Vidalia, GA 30474-5666
Phone (912) 403-3400

Other identifiers 1

IdentifierTypeStateIssuer
003167911AMedicaidGA

Other names 1

  • Meadows Park Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150424002111 GA Part A Provider - Skilled Nursing Facility 9335468388 Practice locations: Vidalia, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821482696. Details of each certification follow.

Skilled nursing facility certification: CCN 115726

Legal name
MEADOWS PARK HEALTH & REHABILITATION, LLC
Doing business as
MEADOWS PARK HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 12, 2015
Last certification
May 22, 2025
Beds
75
Ownership / control type
Other Nonprofit
Multi-facility organization
Health Scholarships
Organization structure
LLCNon-profit
Incorporated
Oct 23, 2014 in GA
Enrollment address
119 Meadows Parkway West
Vidalia, GA 30474-5666
Nursing home name
MEADOWS PARK HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meadows Park Health and RehabilitationCCN 115726 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jun 12, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7572.6 residents per day on average
Chain
Ethica Health50 facilities in the chain

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
11D2093909Meadows Park Health and Rehabilitation119 Meadows Pkwy West, Vidalia, GA 30474Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

119 Meadows Pkwy W
Vidalia, GA 30474
Phone (912) 230-4539

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Organization, Gray, GA LLC, Non-profit Adp of the SNF Oct 23, 2014
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Individual Adp of the SNF Jan 1, 2024
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Nov 4, 2025
Rachel Holmes Individual Operational/Managerial Control Nov 25, 2020
Tiffany Peavy Individual Operational/Managerial Control Jan 1, 2026
Managing Control - Governing BodyVice President of Operations Jan 1, 2026
Rachel Parker Individual Operational/Managerial Control Jul 12, 2020
Adp of the SNF Mar 31, 2026
Maulikkumar a Patel Individual Operational/Managerial Control Aug 1, 2023
Adp of the SNF Aug 1, 2023
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Nov 4, 2025
Organization, Macon, GA LLC, Non-profit Adp of the SNF Nov 12, 2025
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2015 100%
Adp of the SNF Nov 4, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Oct 23, 2014 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Oct 23, 2014 100%
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Nov 12, 2025
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024
Individual Adp of the SNF Jan 1, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 3

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": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1821482696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MEADOWS PKWY W",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304745666",
            "telephone_number": "912-403-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MEADOWS PKWY W",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304745666",
            "telephone_number": "912-403-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS PARK HEALTH & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-403-3400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003167911A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows Park Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meadows Park Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.