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CARROLLTON MANOR INC
NPI 1922003177
Skilled Nursing Facility in Carrollton, GA

Active since June 15, 2005CLIA 11D0256260 · Waiver
1/5
Overall Rating
2455 OAK GROVE CHURCH RD, CARROLLTON, GA 30117(770) 834-1737(770) 836-1223 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carrollton Manor Inc NPPES

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

CARROLLTON MANOR INC (NPI 1922003177) is a healthcare organization registered as a skilled nursing facility in Carrollton, Georgia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Evelyn Thompson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1922003177
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCARROLLTON MANOR INC
Location Address2455 OAK GROVE CHURCH RDCarrollton, GA 30117-9513
Mailing AddressPo Box 2398Carrollton, GA 30112-0044 · (770) 834-1737 · Fax (770) 836-1223
Phone(770) 834-1737
Fax(770) 836-1223
Organization SubpartNo
Authorized OfficialEvelyn ThompsonAdministrator · (770) 834-1737
Enumeration DateJune 15, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922003177 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 · 1-022-1170
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.
2455 OAK GROVE CHURCH RD, Carrollton, GA 30117
Open in Google Maps ↗

Other Identifiers 1

Medicaid00140852AGA

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 11D0256260

Carrollton Manor Inc · Carrollton, GA
Active · expires Aug 31, 2026
CLIA Number11D0256260
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorThomas Thompson
Laboratory Phone(770) 834-1737
Laboratory LocationCarrollton Manor Inc2455 Oak Grove Church Rd, Carrollton, GA 30117
CLIA data matches this NPI record on: Address 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 Carrollton Manor, Incorporated (CMS certification number 115638), from CMS Care Compare.

Carrollton Manor, Incorporated

Nursing home · Carrollton, GA
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number115638
Certified Beds100 beds86 residents per day on average
Medicare & Medicaid Participant SinceMarch 1, 1997
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
48
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 2.2 · LPN 1.1 · RN 0.28
3.59 hrs per resident per day
Weekend Nurse Staffing
3.06 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
68%
Registered Nurse Turnover
44.4%
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
2
Infection-Control Citations
0
Fines
3 totaling $12,292.53
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHRISTINA MCKENZIE OTR/L
Occupational Therapist
2455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117
Carroll County (770) 834-1737
ADREANA BEAUMONT
Occupational Therapist
2455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117
Carroll County (770) 834-1737
ASHLYNN DEESE EISON M. ED., CCC-SLP
Speech-Language Pathologist
2455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117
Carroll County (770) 834-1737
LETITIA WISE PTA
Physical Therapy Assistant
2455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117
Carroll County (770) 834-1737
KARA SLATER
Speech-Language Pathologist
2455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117
Carroll County (770) 834-1737
BECKY LEE LOVELESS
Speech-Language Pathologist
2455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117
Carroll County (770) 834-1737
MS. PATRICIA R NICHOLS RPT, DPT
Physical Therapist
2455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117
Carroll County (770) 834-1737
LEILA BROWN PTA
Physical Therapy Assistant
2455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117
Carroll County (770) 834-1737

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 Carrollton Manor Inc's NPI number?

The NPI number for Carrollton Manor Inc is 1922003177. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is Carrollton Manor Inc located?

Carrollton Manor Inc is located at 2455 Oak Grove Church Rd, Carrollton, GA 30117. The listed phone number is (770) 834-1737.

What is Carrollton Manor Inc's specialty?

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

Does Carrollton Manor Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0256260) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Carrollton Manor Inc a Medicare-certified nursing home?

Yes. Carrollton Manor, Incorporated is a Medicare-certified nursing home with 100 certified beds.

What quality rating does Carrollton Manor Inc have?

CMS rates Carrollton Manor, Incorporated 1 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 Carrollton Manor Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.