Active NPI
Nancy Hart Operation LLC
- Skilled Nursing Facility
- Elberton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 2003
- Medicare certification status
- Active
- Certified beds
- 67
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nancy Hart Center for Nursing and Healing LLC | Other | Jan 1, 2024 | |
| Jerry Wise | W-2 Managing Employee | Jan 1, 2024 | |
| Levi Lazar | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 50% |
| Corporate Officer | Jan 1, 2024 | ||
| Other | Jan 1, 2024 | ||
| Devorah Lazar | 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.
-
- Family Medicine Physician
- Elberton, GA
- NPI 1215917901
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.