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CHURCH HOME REHABILITATION AND HEALTHCARE, LLC
NPI 1083901706
Skilled Nursing Facility in Fort Valley, GA

Active since July 01, 2011CLIA 11D0263760 · Waiver
4/5
Overall Rating
2470 HWY 41 NORTH, FORT VALLEY, GA 31030(478) 987-1239(478) 988-8273 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Church Home Rehabilitation And Healthcare, Llc NPPES

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

CHURCH HOME REHABILITATION AND HEALTHCARE, LLC (NPI 1083901706) is a healthcare organization registered as a skilled nursing facility in Fort Valley, Georgia and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kathy Gibbs, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083901706
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHURCH HOME REHABILITATION AND HEALTHCARE, LLC
Location Address2470 HWY 41 NORTHFort Valley, GA 31030
Mailing AddressPo Box 1376Perry, GA 31069-1376 · (478) 987-1239 · Fax (478) 988-8273
Phone(478) 987-1239
Fax(478) 988-8273
Organization SubpartNo
Authorized OfficialKathy GibbsAdministrator · (478) 987-1239
Enumeration DateJuly 1, 2011
Last NPPES UpdateMay 4, 2015
✔ NPI 1083901706 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 · 00140467A
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.
2470 HWY 41 NORTH, Fort Valley, GA 31030
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certification115708GA

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 11D0263760

Church Home Rehabilitation & Healthcare, LLC · Fort Valley, GA
Active · expires Aug 31, 2026
CLIA Number11D0263760
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDipenkumar Patel
Laboratory Phone(478) 987-1239
Laboratory LocationChurch Home Rehabilitation & Healthcare, LLC2470 Hwy 41 North, Fort Valley, GA 31030
CLIA data matches this NPI record on: Address 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 Church Home Rehabilitation And Healthcare (CMS certification number 115708), from CMS Care Compare.

Church Home Rehabilitation And Healthcare

Nursing home · Fort Valley, GA
4/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number115708
Certified Beds75 beds70 residents per day on average
Medicare & Medicaid Participant SinceNovember 1, 2005
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
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.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
14.67
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 2.78 · LPN 1.31 · RN 0.53
4.62 hrs per resident per day
Weekend Nurse Staffing
3.56 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.
48.8%
Registered Nurse Turnover
42.9%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $657.80
Medicare Payment Denials
0
Total Penalties
1
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 Church Home Rehabilitation And Healthcare, LLC's NPI number?

The NPI number for Church Home Rehabilitation And Healthcare, LLC is 1083901706. It was assigned to this organization in the NPPES registry on July 1, 2011.

Where is Church Home Rehabilitation And Healthcare, LLC located?

Church Home Rehabilitation And Healthcare, LLC is located at 2470 Hwy 41 North, Fort Valley, GA 31030. The listed phone number is (478) 987-1239.

What is Church Home Rehabilitation And Healthcare, LLC's specialty?

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

Does Church Home Rehabilitation And Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0263760) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Church Home Rehabilitation And Healthcare, LLC a Medicare-certified nursing home?

Yes. Church Home Rehabilitation And Healthcare is a Medicare-certified nursing home with 75 certified beds.

What quality rating does Church Home Rehabilitation And Healthcare, LLC have?

CMS rates Church Home Rehabilitation And Healthcare 4 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 Church Home Rehabilitation And Healthcare, LLC was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.