Organization Active NPI

Columbus Regional Senior Living Inc

  • Skilled Nursing Facility
  • Columbus, GA
National Provider Identifier
1922016641
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-106-1839 Issued in GA
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

Updated by the provider on Mar 25, 2014

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)CodeLicenseStatePrimary
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 Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 IslandCCN 115716
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Other
Certified
Oct 6, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4030.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1043489Spring Harbor at Green Island100 Spring Harbor Drive, Columbus, GA 31904Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Michael Campbell Individual Operational/Managerial Control Aug 14, 2023
Laura Drew Individual Corporate OfficerChief Operating Officer Oct 1, 2012
Janet Lynn Peters Individual 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.

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

Sources for this page

Verify at the official NPI Registry.