NPIMap

Organization Active NPI

Monroe County Nursing Home LLC

  • Skilled Nursing Facility
  • Macon, GA
National Provider Identifier
1992741995
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-102-1861 Issued in GA
Legal business name
MONROE COUNTY NURSING HOME LLC
Practice address
529 Bolingreen Dr
Macon, GA 31210-5303
Phone
(478) 477-1720
Fax
(478) 477-1891
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Jason Gerard
Title
Administrator
Phone
(478) 477-1720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-102-1861 GA Primary

Addresses

Primary practice location

529 Bolingreen Dr
Macon, GA 31210-5303

Mailing address

529 Bolingreen Dr
Macon, GA 31210-5303
Phone (478) 477-1720

Other identifiers 2

IdentifierTypeStateIssuer
51000555 002OtherBCBS
00059485AMedicaidGA

Other names 1

  • Bolingreen 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
O20060111000912 GA Part A Provider - Skilled Nursing Facility 1850314212 Practice locations: Macon, GA

Skilled nursing facility certification: CCN 115346

Legal name
MONROE COUNTY NURSING HOME LLC
Doing business as
BOLINGREEN HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1989
Last certification
Feb 26, 2025
Beds
121
Ownership / control type
Other Nonprofit
Multi-facility organization
Health Scholarships
Organization structure
LLCNon-profit
Enrollment address
529 Bolingreen Dr
Macon, GA 31210-5303
Nursing home name
BOLINGREEN HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bolingreen Health and RehabilitationCCN 115346
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
May 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12170.8 residents per day on average
Chain
Ethica Health50 facilities in the chain
Penalties (3 years)
3Fines totaling $16,800

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Organization, Macon, GA LLC Adp of the SNF Apr 14, 2025
Paul a Cable Individual Corporate DirectorBoard Member Mar 14, 2003 100%
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Apr 14, 2025
Amy Street Individual Operational/Managerial Control Jul 17, 2023
Ralph Parks Warnock Individual Corporate DirectorBoard Member Jun 23, 2020 100%
Michelle Medley Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Ronnie D Rollins Individual Corporate DirectorBoard Member Mar 14, 2003 100%
Organization, Gray, GA LLC, Medical provider/supplier Adp of the SNF Apr 14, 2025
Organization, Gray, GA LLC Adp of the SNF Jul 1, 2025
Gregory Davis Individual Operational/Managerial Control Sep 1, 2023
Maulikkumar a Patel Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Kathryn Dennis Individual Corporate DirectorBoard Member Nov 17, 2015 100%
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Jun 26, 2024
Jason Gerard Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Apr 14, 2025
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Jul 1, 2005
Adp of the SNF Apr 14, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Jul 1, 2005 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Jul 1, 2005 100%
Joseph a Wall Individual Corporate DirectorBoard Member Mar 14, 2003 100%
Joseph Nichols Individual Corporate DirectorBoard Member Nov 19, 2024 100%

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 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1992741995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BOLINGREEN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105303",
            "telephone_number": "478-477-1720",
            "fax_number": "478-477-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BOLINGREEN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105303",
            "telephone_number": "478-477-1720",
            "fax_number": "478-477-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-477-1720"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-102-1861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51000555 002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00059485A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolingreen Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bolingreen Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.