Parkside Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARKSIDE OPERATING COMPANY LLC

Doing business as

Parkside Center for Nursing and Rehab at Ellijay

Practice address

1362 S Main St
Ellijay, GA 30540-5410

Phone

(706) 635-7881

Fax

(706) 276-4731

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Kalman Jacobowitz

Title

Senior Vice President

Phone

(706) 635-7881

Specialties & licenses 1

Addresses

Other names 1

• Parkside Center for Nursing and Rehab at Ellijay Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Skilled nursing facility certification: CCN 115683

Legal name

PARKSIDE OPERATING COMPANY LLC

Doing business as

PARKSIDE CENTER FOR NURSING AND REHAB AT ELLIJAY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 2003

Last certification

Jan 31, 2025

Beds

110

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jan 16, 2019 in GA

Enrollment address

1362 S Main St
Ellijay, GA 30540-5410

Nursing home name

PARKSIDE CENTER FOR NURSING AND REHAB AT ELLIJAY

Affiliated entity

MICHAEL FEIST

Listed as

Parkside Center for Nursing and Rehab at EllijayCCN 115683 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

110104.4 residents per day on average

Chain

Michael Feist7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal A Comeau, MD

  • Hospitalist Physician
  • Atlanta, GA
  • NPI 1578570644
  NPD (past)
• Le Anthony Andre Hardy, MD

  • Internal Medicine Physician
  • Morrow, GA
  • NPI 1629053277
  NPD (past)

Affiliated clinicians 2

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

• Crystal A Comeau, MD

  • Hospitalist Physician
  • Atlanta, GA
  • NPI 1578570644

  Nursing home

  Care Compare affiliation
• Le Anthony Andre Hardy, MD

  • Internal Medicine Physician
  • Morrow, GA
  • NPI 1629053277

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1861954620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 S MAIN ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405410",
            "telephone_number": "706-635-7881",
            "fax_number": "706-276-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 S MAIN ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405410",
            "telephone_number": "706-635-7881",
            "fax_number": "706-276-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "JACOBOWITZ",
        "authorized_official_first_name": "KALMAN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "706-635-7881"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Center for Nursing and Rehab at Ellijay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkside Center for Nursing and Rehab at Ellijay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Office of Gilmer County Commissioners
• Echezona Anselm Okoli, PHARMD
• Alexis N. Pagan, DMD
• Claro Tesoro Palma, MD
• Donna Gale Palmer, LICENSED PROFESSIONA
• Shivraj Ramesh Patel, MD
• Erich Smith Pearson, M.D.
• Danielle Perales, COTA/L
• Lynne Marie Poirier
• Alexis Pope, CCC-SLP

• Skilled Nursing Facility in Ellijay, GA
• Providers in Ellijay, 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 Apr 4, 2019; 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.