Spalding Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SPALDING POST ACUTE LLC

Practice address

415 Airport Rd
Griffin, GA 30224-4834

Phone

(770) 227-8636

Fax

(770) 227-1450

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Funk

Title

Member of LLC

Phone

(408) 348-7566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932804069. Details of each certification follow.

• CCN 115537 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 115537

Legal name

SPALDING POST ACUTE LLC

Doing business as

PHARMERICA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1993

Last certification

Feb 17, 2025

Beds

148

Ownership / control type

Limited Liability Corporation

Multi-facility organization

ELEVATION GROUP

Organization structure

LLCProprietary

Incorporated

Mar 28, 2023 in GA

Enrollment address

415 Airport Road
Griffin, GA 30224-4834

Listed as

Spalding Post Acute LLCCCN 115537 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

148132.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 29

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Vamsi Kanagala, M.D.

  • Internal Medicine Physician
  • Sandy Springs, GA
  • NPI 1952712788

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 5

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

• Arrowhead Post Acute LLC

  • Skilled Nursing Facility
  • Jonesboro, GA
  • NPI 1902778269

  Elevation Healthcare LLC

  CMS ownership
• Savannah Post Acute LLC

  • Skilled Nursing Facility
  • Savannah, GA
  • NPI 1962273441

  Elevation Healthcare LLC

  CMS ownership
• Tower Road Post Acute LLC

  • Skilled Nursing Facility
  • Marietta, GA
  • NPI 1316718802

  Elevation Healthcare LLC

  CMS ownership
• Athens Post Acute LLC

  • Skilled Nursing Facility
  • Deland, FL
  • NPI 1093441883

  Elevation Healthcare LLC, Kmom LLC

  CMS ownership
• Blue Lake Post Acute LLC

  • Skilled Nursing Facility
  • Deland, FL
  • NPI 1710613500

  Elevation Healthcare LLC

  CMS ownership

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.

• Vamsi Kanagala, M.D.

  • Internal Medicine Physician
  • Sandy Springs, GA
  • NPI 1952712788
  NPD (past)
• Ike A Nwaobi, M.D.

  • Family Medicine Physician
  • Newnan, GA
  • NPI 1417112475
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Erica T Isom, MD

  • Internal Medicine Physician
  • McDonough, GA
  • NPI 1285991588

  Nursing home

  Care Compare affiliation
• Vamsi Kanagala, M.D.

  • Internal Medicine Physician
  • Sandy Springs, GA
  • NPI 1952712788

  Nursing home

  Care Compare affiliation
• Ike A Nwaobi, M.D.

  • Family Medicine Physician
  • Newnan, GA
  • NPI 1417112475

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1932804069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 AIRPORT RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244834",
            "telephone_number": "770-227-8636",
            "fax_number": "770-227-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 AIRPORT RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244834",
            "telephone_number": "770-227-8636",
            "fax_number": "770-227-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPALDING POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "408-348-7566"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Griffin, GA
• Providers in Griffin, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.