KNOXVILLE OPCO LLC (NPI# 1013576297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013576297 |
Entity Type | Organization |
Organization Name | KNOXVILLE OPCO LLC |
Practice Address |
3300 N Broadway St Knoxville TN 37917-2733 |
Mailing Address |
440 Sylvan Ave Ste 240 Englewood Cliffs NJ 07632-2700 |
Practice Telephone | 8656892052 |
Enumeration Date | 2019-06-11 |
Last Update Date | 2019-06-11 |
Authorized Official Name | BATYA GORELICK (VP OF ADMIN SERVICES) |
Authorized Official Telephone | 8656892052 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 385H00000X | Respite Care | Respite Care Facility | ||
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Creekview Health and Rehabilitation | Doing Business As Name - Organization |
Street Address |
3300 N BROADWAY ST |
City | KNOXVILLE |
State | TN |
Zip Code | 37917-2733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952372013 | Kimber A Jones | Family Medicine | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2006-01-27 |
1922562792 | Rachel Diane Ward | Occupational Therapy Assistant | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2019-01-25 |
1528583275 | Eagle Acquisition Vii LLC | Skilled Nursing Facility | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2017-08-03 |
1790125466 | Lp Knoxville, LLC | Skilled Nursing Facility | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2013-06-26 |
1578711933 | Ruth Wall | Physical Therapy Assistant | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2008-08-28 |
1902054349 | Alexis Tenerife | Physical Therapist | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2008-08-27 |
1518114016 | Allison Collins | Occupational Therapy Assistant | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2008-08-26 |
1669629127 | Dennis A. Marquez | Physical Therapist | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2008-08-26 |
1053568717 | Nikki Cook Tolliver | Occupational Therapy Assistant | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2008-08-25 |
1407003163 | W Michael Mckinley | Physical Therapy Assistant | 3300 N Broadway St, Knoxville, TN 37917-2733 | 2008-08-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
Find all providers in zip 37917 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(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. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760940613 | Marble City Medical LLC | Skilled Nursing Facility | 7500 Dodson Rd, Knoxville, TN 37920-9734 | 2019-03-11 |
1457805186 | Barton Blazer Smith | Skilled Nursing Facility | 210 Busbee Rd, Knoxville, TN 37920-5104 | 2016-08-11 |
1114312899 | Dr. David White | Skilled Nursing Facility | 9401 Naraca Dr, Knoxville, TN 37922-3404 | 2015-03-31 |
1164830261 | National Health Care | Skilled Nursing Facility | 809 East Emerald Ave, Knoxville, TN 37917 | 2014-08-01 |
1891701645 | Summit View of Farragut, LLC | Skilled Nursing Facility | 12823 Kingston Pike, Knoxville, TN 37934-0920 | 2006-08-01 |
1750306759 | Nhc Healthcare-knoxville LLC | Skilled Nursing Facility | 809 E Emerald Ave, Knoxville, TN 37917-5550 | 2006-07-12 |
1164467270 | Knoxville Health Care Center, Ltd | Skilled Nursing Facility | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2006-06-20 |
1790726503 | Tennessee State Veterans Home Board | Skilled Nursing Facility | One Veterans Way, Knoxville, TN 37931-3101 | 2006-06-10 |
1699748178 | Care Initiatives | Skilled Nursing Facility | 1904 W Howard St, Knoxville, IA 50138-3180 | 2006-02-07 |
1265410948 | Fort Sanders Regional Medical Center | Skilled Nursing Facility | 1901 Clinch Avenue, Knoxville, TN 37995-0001 | 2006-01-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.