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PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS
NPI 1184605693
Skilled Nursing Facility in Stone Mountain, GA

Active since November 10, 2005CLIA 11D1035559 · Waiver
5/5
Overall Rating
5610 NEW BURMUDA RD, STONE MOUNTAIN, GA 30087(770) 879-4330(770) 879-7330 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2019, Jul 11, 2017 (2 updates tracked since 2017).

About Pebblebrook Health Center At Park Springs NPPES

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

PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS (NPI 1184605693) is a healthcare organization registered as a skilled nursing facility in Stone Mountain, Georgia and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Kevin W. Isakson, Manager, as its authorized official.

NPPES Registry Identity

NPI1184605693
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePARK SPRINGS, LLC
Location Address5610 NEW BURMUDA RDStone Mountain, GA 30087
Mailing Address500 Springhouse CircleStone Mountain, GA 30087-6718 · (770) 879-4330 · Fax (770) 879-7330
Phone(770) 879-4330
Fax(770) 879-7330
Organization SubpartNo
Authorized OfficialKevin W. IsaksonManager · (404) 932-6552
Enumeration DateNovember 10, 2005
Last NPPES UpdateMay 2, 20192 updates tracked since enumeration
✔ NPI 1184605693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in GA · 1-044-1825
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 044-03-031-1 (GA)
5610 NEW BURMUDA RD, Stone Mountain, GA 30087
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Other Names 1

Doing Business AsPebblebrook Health Center At Park Springs

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 11D1035559

Pebblebrook Health Center At Park Springs · Stone Mountain, GA
Active · expires Jan 4, 2027
CLIA Number11D1035559
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorWilliam Mark Mckettrick
Laboratory Phone(770) 879-4330
Laboratory LocationPebblebrook Health Center At Park Springs5610 New Bermuda Road, Stone Mountain, GA 30087
CLIA data matches this NPI record on: Name 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 Pebblebrook Health Center At Park Springs (CMS certification number 115694), from CMS Care Compare.

Pebblebrook Health Center At Park Springs

Nursing home · Stone Mountain, GA
5/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number115694
Certified Beds60 beds32 residents per day on average
Medicare & Medicaid Participant SinceMay 27, 2005
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
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.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
18.67
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 3.3 · LPN 0.47 · RN 1.11
4.89 hrs per resident per day
Weekend Nurse Staffing
4.29 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
36.6%
Registered Nurse Turnover
14.3%
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
3 totaling $19,408.07
Medicare Payment Denials
0
Total Penalties
3
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 Park Springs, LLC's NPI number?

The NPI number for Park Springs, LLC is 1184605693. It was assigned to this organization in the NPPES registry on November 10, 2005. The provider is doing business as Pebblebrook Health Center At Park Springs.

Where is Park Springs, LLC located?

Park Springs, LLC is located at 5610 New Burmuda Rd, Stone Mountain, GA 30087. The listed phone number is (770) 879-4330.

What is Park Springs, LLC's specialty?

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

Does Park Springs, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1035559) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Park Springs, LLC a Medicare-certified nursing home?

Yes. Pebblebrook Health Center At Park Springs is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Park Springs, LLC have?

CMS rates Pebblebrook Health Center At Park Springs 5 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 Park Springs, LLC was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.