Organization Active NPI

Nancy Hart Operation LLC

  • Skilled Nursing Facility
  • Elberton, GA
National Provider Identifier
1902679442
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NANCY HART OPERATION LLC
Practice address
2117 Doctor Ward Road
Elberton, GA 30635
Phone
(706) 283-3335
Fax
(706) 213-6443
NPI assigned
Nov 6, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Levi Lazar
Title
Member of LLC
Phone
(478) 200-0301

Specialties & licenses 1

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

Addresses

Primary practice location

2117 Doctor Ward Road
Elberton, GA 30635

Mailing address

2117 Doctor Ward Road
Elberton, GA 30635
Phone (706) 283-3335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213003612 GA Part A Provider - Skilled Nursing Facility 9133563521 Practice locations: Elberton, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902679442. Details of each certification follow.

Skilled nursing facility certification: CCN 115686

Legal name
NANCY HART OPERATION LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 2003
Last certification
Feb 29, 2024
Beds
67
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
2117 Dr George Ward Rd
Elberton, GA 30635-5971
Nursing home name
NANCY HART OPERATION LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nancy Hart Operation LLCCCN 115686 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6757.7 residents per day on average
Penalties (3 years)
3Fines totaling $14,716

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Nancy Hart Center for Nursing and Healing LLC Organization, Elberton, GA LLC, For-profit Other Jan 1, 2024
Jerry Wise Individual W-2 Managing EmployeeAdministrator Jan 1, 2024
Levi Lazar Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 50%
Corporate Officer Jan 1, 2024
OtherMember of LLC Jan 1, 2024
Devorah Lazar Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 50%

Practitioners & affiliated clinicians

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.

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": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1902679442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 DOCTOR WARD ROAD",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "30635",
            "telephone_number": "706-283-3335",
            "fax_number": "706-213-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 DOCTOR WARD ROAD",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "30635",
            "telephone_number": "706-283-3335",
            "fax_number": "706-213-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY HART OPERATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "478-200-0301"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberton, GA

Sources for this page

Verify at the official NPI Registry.