NPIMap

Organization Active NPI

Zebulon Park Health and Rehabilitation LLC

Doing business as Zebulon Park Health and Rehabilitation

  • Skilled Nursing Facility
  • Macon, GA
National Provider Identifier
1982963682
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-011-1994 Issued in GA
Legal business name
ZEBULON PARK HEALTH AND REHABILITATION LLC
Doing business as
Zebulon Park Health and Rehabilitation
Practice address
343 Plantation Way
Macon, GA 31210
Phone
(478) 405-9000
Fax
(478) 405-9150
NPI assigned
May 15, 2012
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Kristen Brooks
Title
Administrator
Phone
(478) 405-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-011-1994 GA Primary

Addresses

Primary practice location

343 Plantation Way
Macon, GA 31210

Mailing address

343 Plantation Way
Macon, GA 31210
Phone (478) 405-9000

Other identifiers 1

IdentifierTypeStateIssuer
003125041BMedicaidGA

Other names 1

  • Zebulon Park Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120716000488 GA Part A Provider - Skilled Nursing Facility 4082870217 Practice locations: Macon, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982963682. Details of each certification follow.

Skilled nursing facility certification: CCN 115295

Legal name
ZEBULON PARK HEALTH AND REHABILITATION, LLC
Doing business as
ZEBULON PARK HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 21, 2012
Last certification
Sep 13, 2024
Beds
66
Ownership / control type
Nonprofit Corporation
Multi-facility organization
HEALTH SCHOLARSHIPS
Organization structure
LLCNon-profit
Incorporated
Oct 10, 2008 in GA
Enrollment address
343 Plantation Way
Macon, GA 31210-9286
Nursing home name
ZEBULON PARK HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Zebulon Park Health and RehabilitationCCN 115295 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 21, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6664.1 residents per day on average
Chain
Ethica Health50 facilities in the chain

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
11D2040541Zebulon Park Health and Rehabilitation343 Plantation Way, Macon, GA 31210Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Jul 11, 2025
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Individual Adp of the SNF Jan 1, 2025
Organization, Macon, GA LLC, Non-profit Adp of the SNF Jul 11, 2025
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Madison Sapp Individual Operational/Managerial Control Aug 10, 2021
Adp of the SNF Jul 10, 2025
Individual Adp of the SNF Jan 1, 2024
Gregory Davis Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDVP Sep 1, 2023
Maulikkumar a Patel Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Individual Adp of the SNF Jan 1, 2024
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Jul 11, 2025
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Jul 11, 2025
Individual Adp of the SNF Jan 1, 2024
Organization, Gray, GA LLC, Non-profit Adp of the SNF May 11, 2012
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control May 11, 2012 100%
Adp of the SNF Jul 11, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 11, 2012 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest May 11, 2012 100%
Individual Adp of the SNF Jan 1, 2024
Sarah Gradwell Individual Operational/Managerial Control Dec 7, 2022
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024

Owners & managing parties with NPI records 2

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

Facilities with the same owner 50

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

View all 50

Practitioners & affiliated clinicians

Practitioners 3

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.

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": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1982963682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 PLANTATION WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-405-9000",
            "fax_number": "478-405-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 PLANTATION WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-405-9000",
            "fax_number": "478-405-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEBULON PARK HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-405-9000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-011-1994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125041B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zebulon Park Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zebulon Park Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.