Active NPI
Columbus Regional Senior Living Inc
- Skilled Nursing Facility
- Columbus, GA
National Provider Identifier
1922016641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1-106-1839
- Legal business name
- COLUMBUS REGIONAL SENIOR LIVING INC
- Practice address
- 100 Spring Harbor Dr
Columbus, GA 31904-4619 - Phone
- (706) 576-6000
- Fax
- (706) 576-6064
- NPI assigned
- Aug 5, 2006
- 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
- Maurice Hill
- Title
- CRSL Ceo Andchairman
- Phone
- (706) 660-6102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1-106-1839 | GA | Primary |
Addresses
Primary practice location
100 Spring Harbor Dr
Columbus, GA 31904-4619
Mailing address
100 Spring Harbor Dr
Columbus, GA 31904-4619
Phone (706) 576-6000
Other names 1
- Spring Harbor At Green Island
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051208000066 | GA | Part A Provider - Skilled Nursing Facility | 0840211629 | Practice locations: Columbus, GA |
Skilled nursing facility certification: CCN 115716
- Legal name
- COLUMBUS REGIONAL SENIOR LIVING INC
- Doing business as
- SPRING HARBOR AT GREEN ISLAND
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Oct 6, 2006
- Last certification
- Nov 10, 2024
- Beds
- 40
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation
- Incorporated
- Mar 31, 2001 in GA
- Enrollment address
- 200 Spring Harbor Dr
Columbus, GA 31904-4644 - Nursing home name
- SPRING HARBOR AT GREEN ISLAND
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Spring Harbor at Green Island
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Other
- Certified
- Oct 6, 2006
- Medicare certification status
- Active
- Certified beds
- 40
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1043489 | Spring Harbor at Green Island | Certificate of waiver | Jul 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
200 Spring Harbor Dr
Columbus, GA 31904
Phone (706) 576-6000
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Michael Campbell | Operational/Managerial Control | Aug 14, 2023 | |
| Laura Drew | Corporate Officer | Oct 1, 2012 | |
| Janet Lynn Peters | Operational/Managerial Control | Jul 15, 2012 | |
| Adp of the SNF | Jul 15, 2012 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Columbus, GA
- NPI 1598965352
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395705600000",
"number": "1922016641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SPRING HARBOR DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319044619",
"telephone_number": "706-576-6000",
"fax_number": "706-576-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SPRING HARBOR DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319044619",
"telephone_number": "706-576-6000",
"fax_number": "706-576-6064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBUS REGIONAL SENIOR LIVING INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2014-03-25",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "MAURICE",
"authorized_official_title_or_position": "CRSL CEO ANDCHAIRMAN",
"authorized_official_telephone_number": "706-660-6102"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "1-106-1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spring Harbor At Green Island",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Columbus, GA
- Columbus Psychological Associates, LLP
- Columbus Radiation Oncology Associates, P.C.
- Columbus Radiation Oncology Treatment Center LLC
- Columbus Radiology, LLC
- Columbus Regional Healthcare System
- Columbus Regional Source
- Columbus Rehab Center, LLC
- Columbus Shoulder Surgery & Sports Medicine LLC
- Columbus Sleep Solutions
- Columbus Specialty Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.