233 Carrollton Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

233 CARROLLTON OPCO LLC

Practice address

233 Carrollton St
Buchanan, GA 30113-4917

Phone

(770) 646-3861

NPI assigned

May 23, 2025

Organization subpart

No

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

Authorized official

Name

Avrohom Kolodny

Title

Member

Phone

(770) 646-3861

Specialties & licenses 1

Addresses

Other names 1

• Countryside Post Acute Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Skilled nursing facility certification: CCN 115592

Legal name

233 CARROLLTON OPCO LLC

Doing business as

COUNTRYSIDE POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 12, 1995

Last certification

Apr 18, 2024

Beds

62

Ownership / control type

Corporation

Multi-facility organization

SNF HEALTH , BEACON HEALTH

Organization structure

LLCProprietary

Enrollment address

233 Carrollton St
Buchanan, GA 30113-4917

Nursing home name

COUNTRYSIDE POST ACUTE

Listed as

Countryside Post AcuteCCN 115592

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 12, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6251.7 residents per day on average

Penalties (3 years)

2Fines totaling $4,068

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 5

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.

• Mark L Lipham, MD

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1437192697

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark L Lipham, MD

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1437192697
  NPD (past)
• Brij M Singh, MD

  • Internal Medicine Physician
  • Rome, GA
  • NPI 1427068642
  NPD (past)

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1982497970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CARROLLTON ST",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134917",
            "telephone_number": "770-646-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 CARROLLTON ST",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134917",
            "telephone_number": "770-646-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "233 CARROLLTON OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "KOLODNY",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-646-3861"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Benefield, PHARMD
• Blue Ridge Healthcare of Buchanan LLC
• Summer Dyane Boyanton
• Buchanan Healthcare Center LLC
• Buchanan SCC Inc

• Skilled Nursing Facility in Buchanan, GA
• Providers in Buchanan, 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 May 23, 2025; 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.