Active NPI
Thomasville Care Center LLC
- Skilled Nursing Facility
- Thomasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THOMASVILLE CARE CENTER LLC
- Practice address
- 120 Skyline Dr
Thomasville, GA 31757-2507 - Phone
- (229) 225-1049
- NPI assigned
- Mar 11, 2024
- Last updated
- Mar 11, 2024
- 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
- Ari Silberstein
- Title
- Member of LLC
- Phone
- (631) 292-1250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
120 Skyline Dr
Thomasville, GA 31757-2507
Mailing address
265 E Merrick Rd Ste 205
Valley Stream, NY 11580-6004
Phone (631) 292-1250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240802002516 | GA | Part A Provider - Skilled Nursing Facility | 2668919077 | Practice locations: Thomasville, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1952169336. Details of each certification follow.
Skilled nursing facility certification: CCN 115427
- Legal name
- THOMASVILLE CARE CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1989
- Last certification
- Aug 11, 2024
- Beds
- 52
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 120 Skyline Dr
Thomasville, GA 31757-2507 - Nursing home name
- THOMASVILLE VISTAS OF JOURNEY LLC
- Affiliated entity
- JOURNEY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Thomasville Vistas of Journey LLC
- Overall star rating
- Health inspections
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 1, 1989
- Medicare certification status
- Active
- Certified beds
- 52
- Chain
- Journey Healthcare
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 11D0266340 | Thomasville Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 24
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 |
|---|---|---|---|
| Zalmen Leo Oberlander | Adp of the SNF | Apr 1, 2024 | |
| 120 Skyline Dr Holdco LLC | Adp of the SNF | Apr 1, 2024 | |
| Karen Soehner | Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Mar 31, 2026 | ||
| Devora Kirschner | Operational/Managerial Control | Apr 1, 2024 | |
| Scheiner Family Trust 2012 | Adp of the SNF | Apr 1, 2024 | |
| Moss M Ellenbogen | Trustee of the SNF | Apr 1, 2024 | |
| Eliyahu Z Kohen | Trustee of the SNF | Apr 1, 2024 | |
| Gem BSD Ga Trust | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 20% |
| Adp of the SNF | Mar 28, 2026 | ||
| David Salzman | Trustee of the SNF | Apr 1, 2024 | |
| Brass Ga Trust | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 20% |
| Adp of the SNF | Mar 28, 2026 | ||
| Gold Ga Trust | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 20% |
| Adp of the SNF | Mar 28, 2026 | ||
| Silver Ga Trust | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 20% |
| Adp of the SNF | Mar 28, 2026 | ||
| Ari Silberstein | Corporate Officer | Apr 1, 2024 | |
| Adp of the SNF | Apr 1, 2024 | ||
| Copper Ga Trust | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 8% |
| Adp of the SNF | Mar 28, 2026 | ||
| Providence Propco LLC | Adp of the SNF | Apr 1, 2024 | |
| Gamfal LLC | Adp of the SNF | Apr 1, 2024 | |
| Ga PCNH Holdco LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 100% |
| Adp of the SNF | Mar 28, 2026 | ||
| Direct Ownership Interest | Apr 1, 2024 | 100% | |
| Jason Griffin | Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Apr 1, 2024 | ||
| KF Capital Holdings LLC | Adp of the SNF | Apr 1, 2024 | |
| Care Network Health LLC | Operational/Managerial Control | Apr 1, 2024 | |
| Brian Bickett | Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Mar 28, 2026 | ||
| Scheiner Holdings LLC | Adp of the SNF | Apr 1, 2024 | |
| Lichtschein Family 2012 Trust | Adp of the SNF | Apr 1, 2024 | |
| 120 Skyline Dr LLC | Adp of the SNF | Apr 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Thomasville, GA
- NPI 1063485068
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Lagrange, GA
- NPI 1275391658
Brass Ga Trust, Copper Ga Trust, Ga PCNH Holdco LLC, Gem BSD Ga Trust, Gold Ga Trust, Silver Ga Trust
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": "1710115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1952169336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 E MERRICK RD STE 205",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806004",
"telephone_number": "631-292-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SKYLINE DR",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317572507",
"telephone_number": "229-225-1049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMASVILLE CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-10",
"status": "A",
"authorized_official_last_name": "SILBERSTEIN",
"authorized_official_first_name": "ARI",
"authorized_official_title_or_position": "MEMBER OF LLC",
"authorized_official_telephone_number": "631-292-1250"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.