Organization Active NPI

Carrollton Cypress LLC

Doing business as Carrollton Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Carrollton, GA
National Provider Identifier
1891116836
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARROLLTON CYPRESS LLC
Doing business as
Carrollton Nursing and Rehabilitation Center
Practice address
2327 N Highway 27
Carrollton, GA 30117-6701
Phone
(770) 834-4404
NPI assigned
Dec 18, 2013
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CYPRESS SKILLED NURSING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Isaac Ovits
Title
Cfo
Phone
(845) 694-6055

Specialties & licenses 1

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

Addresses

Primary practice location

2327 N Highway 27
Carrollton, GA 30117-6701

Mailing address

2327 N Highway 27
Carrollton, GA 30117-6701
Phone (770) 834-4404

Other names 1

  • Carrollton Nursing and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140319001069 GA Part A Provider - Skilled Nursing Facility 6507097375 Practice locations: Carrollton, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891116836. Details of each certification follow.

Skilled nursing facility certification: CCN 115368

Legal name
CARROLLTON CYPRESS LLC
Doing business as
CARROLLTON NURSING AND REHABILATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 4, 1989
Last certification
Mar 20, 2025
Beds
159
Ownership / control type
Corporation
Multi-facility organization
Journey Healthcare
Most recent change of ownership
Jul 1, 2025
Organization structure
LLCProprietary
Incorporated
Nov 12, 2013 in GA
Enrollment address
2327 North Highway 27
Carrollton, GA 30117-6701

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carrollton Crossing of Journey LLCCCN 115368 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 4, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15998.3 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $3,728

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Carrollton Cypress LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

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.

NameRoleSinceShare
Cypress Skilled Nursing LLC Organization, Pomona, NY For-profit 5% Or Greater Direct Ownership Interest Nov 12, 2013 100%
Cypress Operating LLC Organization, Pomona, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 12, 2013 100%
Janice K Carter Individual Operational/Managerial ControlNursing Home Administrator Mar 21, 2017 100%
Isaac Y Ovits Individual Corporate OfficerCfo Jan 1, 2014
Operational/Managerial ControlCfo Jan 1, 2014
Dianne W Patterson Individual Corporate DirectorCorporate Manager May 7, 2018 100%

Facilities with the same owner 6

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

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": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1891116836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 N HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301176701",
            "telephone_number": "770-834-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 N HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301176701",
            "telephone_number": "770-834-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON CYPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CYPRESS SKILLED NURSING LLC",
        "enumeration_date": "2013-12-18",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "OVITS",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-694-6055"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollton Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carrollton Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.