ROBERTA HEALTH CARE CENTER
NPI 1083776520
Skilled Nursing Facility in Roberta, GA

Active since December 14, 2006CLIA 11D0893925 · Waiver
2/5
Overall Rating
280 MYRTLE DRIVE, ROBERTA, GA 31078(478) 836-3101(478) 836-2700 Get Directions Write a Review

NPPES record last updated: September 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roberta Health Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERTA HEALTH CARE CENTER (NPI 1083776520) is a healthcare organization registered as a skilled nursing facility in Roberta, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Tygh Brogdon, Manager, as its authorized official.

NPPES Registry Identity

NPI1083776520
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRENTWOOD NURSING LLC
Location Address280 MYRTLE DRIVERoberta, GA 31078
Mailing Address280 Myrtle DriveRoberta, GA 31078 · (478) 836-3101 · Fax (478) 836-2700
Fax(478) 836-2700
Organization SubpartNo
Authorized OfficialTygh BrogdonManager · (770) 650-8773
Enumeration DateDecember 14, 2006
Last NPPES UpdateSeptember 29, 2008
NPI 1083776520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in GA · 1-039-1747
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
280 MYRTLE DRIVE, Roberta, GA 31078

Other Names 1

Doing Business AsRoberta Health Care Center

Other Identifiers 2

Medicaid00142777AGA
Medicare ID-Type Unspecified11-5523GA · Medicare Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0893925

Roberta Operator LLC Dba Roberta Healthcare Center · Roberta, GA
Active · expires Nov 1, 2026
CLIA Number11D0893925
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorElisa Willis
Laboratory Phone(478) 836-3101
Laboratory LocationRoberta Operator LLC Dba Roberta Healthcare Center420 Myrtle Drive, Roberta, GA 31078
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Roberta Health And Rehab (CMS certification number 115523), from CMS Care Compare.

Roberta Health And Rehab

Nursing home · Roberta, GA
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number115523
Certified Beds100 beds65 residents per day on average
Medicare & Medicaid Participant SinceJune 11, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
20
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.22 · LPN 1.13 · RN 0.22
3.58 hrs per resident per day
Weekend Nurse Staffing
3.1 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
50%
Registered Nurse Turnover
60%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brentwood Nursing LLC's NPI number?

The NPI number for Brentwood Nursing LLC is 1083776520. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Roberta Health Care Center.

Where is Brentwood Nursing LLC located?

Brentwood Nursing LLC is located at 280 Myrtle Drive, Roberta, GA 31078. The listed phone number is (478) 836-3101.

What is Brentwood Nursing LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Brentwood Nursing LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0893925) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Brentwood Nursing LLC a Medicare-certified nursing home?

Yes. Roberta Health And Rehab is a Medicare-certified nursing home with 100 certified beds.

What quality rating does Brentwood Nursing LLC have?

CMS rates Roberta Health And Rehab 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Brentwood Nursing LLC was last updated on September 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.