PARK PLACE NURSING FACILITY
NPI 1972518611
Skilled Nursing Facility in Monroe, GA

Q: What is Monroe Nursing Home Inc's NPI number?

The NPI number for Monroe Nursing Home Inc is 1972518611. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Park Place Nursing Facility.

Q: What is Monroe Nursing Home Inc's specialty?

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

Q: What quality rating does Monroe Nursing Home Inc have?

CMS rates Park Place Nursing Facility 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since July 30, 2006CLIA 11D0898960 · Waiver

3/5

Overall Rating

1865 BOLD SPRINGS RD NW, MONROE, GA 30656(770) 267-8677(770) 267-7831 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Park Place Nursing Facility NPPES

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

PARK PLACE NURSING FACILITY (NPI 1972518611) is a healthcare organization registered as a skilled nursing facility in Monroe, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists E Kenneth Murray, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972518611

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameMONROE NURSING HOME INC

Location Address1865 BOLD SPRINGS RD NWMonroe, GA 30656-4605

Mailing Address1865 Bold Springs Rd NwMonroe, GA 30656-4605 · (770) 267-8677 · Fax (770) 267-7831

Phone(770) 267-8677

Fax(770) 267-7831

Organization SubpartNo

Authorized OfficialE Kenneth MurrayAdministrator · (770) 267-8677

Enumeration DateJuly 30, 2006

Last NPPES UpdateApril 2, 2015

✔ NPI 1972518611 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 · 11471218

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.

1865 BOLD SPRINGS RD NW, Monroe, GA 30656

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Other Names 1

Doing Business AsPark Place Nursing Facility

Other Identifiers 2

Medicaid00002164AGA

Medicare PIN115005

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 11D0898960

Park Place Nursing Facility · Monroe, GA

Active · expires Mar 15, 2027

CLIA Number11D0898960

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateMarch 16, 2025

Certificate Expiration DateMarch 15, 2027

Laboratory DirectorTasandra Hyderkhan

Laboratory Phone(770) 267-8677

Laboratory LocationPark Place Nursing Facility1865 Bold Springs Rd NW, Monroe, GA 30656

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 Park Place Nursing Facility (CMS certification number 115005), from CMS Care Compare.

Park Place Nursing Facility

Nursing home · Monroe, GA

3/5 CMS Overall Rating

OwnershipFor profit - Individual

CMS Certification Number115005

Certified Beds165 beds158 residents per day on average

Medicare & Medicaid Participant SinceNovember 11, 1993

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.

4/5

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.

1/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

15.33

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 2.43 · LPN 1.29 · RN 0.32

4.05 hrs per resident per day

Weekend Nurse Staffing

3.47 hrs per resident per day

Physical Therapist Staffing

0.13 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

52.1%

Registered Nurse Turnover

77.8%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

Medicare Payment Denials

Total Penalties

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 17

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

MIRACLE WATKINS

Occupational Therapy Assistant