OAKTREE HEALTH AND REHABILITATION CENTER, LLC (NPI# 1922493592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922493592 |
| Entity Type | Organization |
| Organization Name | OAKTREE HEALTH AND REHABILITATION CENTER, LLC |
| Other Organization Name | CHRISTIAN CARE CENTER OF MEMPHIS |
| Practice Address |
6500 Kirby Gate Cv Memphis TN 38119-8203 |
| Mailing Address |
2020 Northpark Dr Suite 2d Johnson City TN 37604-3100 |
| Practice Telephone | 9017520772 |
| Mailing Telephone | 4239755455 |
| Mailing Fax Number | 4239755405 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | JIMMY R LEWIS (CHIEF MANAGER) |
| Authorized Official Telephone | 4239755455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | TN | Nursing & Custodial Care Facilities | |
| Y | 314000000X | Skilled Nursing Facility | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q021687 | 05 | |
| TN | Q021686 | 05 |
| Other Name | Type Code |
|---|---|
| Christian Care Center of Memphis | Doing Business As Name - Organization |
| Street Address |
6500 KIRBY GATE CV |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-8203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1881820702 | Lp Memphis II, LLC | Skilled Nursing Facility | 6007 Park Ave, Memphis, TN 38119-5200 | 2009-06-05 |
| 1407071616 | Psalms, Inc | Skilled Nursing Facility | 3535 Kirby Rd, Memphis, TN 38115-3721 | 2007-04-14 |
| 1457404386 | Zues Leasing LLC | Skilled Nursing Facility | 1415 N. 18th Street, Memphis, TX 79245 | 2007-01-22 |
| 1821161803 | Quince Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 6733 Quince Rd, Memphis, TN 38119-8602 | 2006-11-16 |
| 1295811255 | Scotland County Nursing Home District | Skilled Nursing Facility | 434 E Sigler Avenue, Memphis, MO 63555-1714 | 2006-10-31 |
| 1770684342 | Mid-south Health Services, LLC | Skilled Nursing Facility | 3030 Walnut Grove Rd, Memphis, TN 38111-3508 | 2006-09-26 |
| 1063445914 | Graceland Nursing Center, LLC | Skilled Nursing Facility | 1250 Farrow Rd, Memphis, TN 38116-7116 | 2006-07-07 |
| 1760411607 | Allenbrooke Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 3933 Allenbrooke Cv, Memphis, TN 38118-1866 | 2006-07-02 |
| 1689646150 | Fmsc Memphis Operating Company LLC | Skilled Nursing Facility | 2491 Joy Ln, Memphis, TN 38114-6088 | 2006-02-07 |
| 1417936840 | Vanguard of Memphis, LLC | Skilled Nursing Facility | 131 N Tucker St, Memphis, TN 38104 | 2006-01-13 |
| Find all providers in MEMPHIS | ||||
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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.