Dac of Copperhill LLC
Organization Active NPI Skilled Nursing Facility · Copperhill, TN
NPI 1003629809 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1003629809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- DAC OF COPPERHILL LLC
- Practice address
- 166 Industrial Dr
Copperhill, TN 37317-5632 - Phone
- (423) 496-3245
- NPI assigned
- Jan 28, 2025
- Organization subpart
- No
Authorized official
- Name
- Matthew J. Weishaar
- Title
- Chief Financial Officer & Secretary
- Phone
- (615) 771-7575
Owners & managing parties with NPI records 1
Facilities with the same owner 42
Affiliated clinicians 2
-
Allen Stephen Uhlik, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Diversicare of Copper Basin
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Apr 1, 1993
- Medicare certification status
- Active
- Certified beds
- 135 · 38.3 residents per day on average
- Chain
- Diversicare Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Skilled nursing facility certification: CCN 445310
- Legal name
- DAC OF COPPERHILL LLC
- Doing business as
- DIVERSICARE OF COPPER BASIN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1993
- Last certification
- Mar 26, 2025
- Beds
- 135
- Ownership / control type
- Other Nonprofit
- Multi-facility organization
- Twin Rivers
- Most recent change of ownership
- Apr 1, 2023
- Organization structure
- LLC · Proprietary
- Enrollment address
- 166 Industrial Dr
Copperhill, TN 37317-5632 - Nursing home name
- DIVERSICARE OF COPPER BASIN
- Affiliated entity
- DIVERSICARE HEALTHCARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Franklin Scott Kellman |
Corporate Director |
Sep 13, 2024 | |
| Brent C Fair |
Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Stephen Michael Nee |
Corporate Officer |
Apr 1, 2025 | |
| Diversicare Management Services LP. |
Operational/Managerial Control | Apr 1, 2025 | |
| Eran Ratner |
Corporate Officer |
Apr 1, 2025 | |
| Corporate Director |
Apr 1, 2025 | ||
| 166 Industrial Drive Propco LLC |
Adp of the SNF | Apr 1, 2025 | |
| Matthew J Weishaar |
Corporate Officer |
Apr 1, 2025 | |
| Dac Acquisition LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2025 | 100% |
| Elias G Issa |
Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 11, 2025 | ||
| Dac Opco, LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2025 | 100% |
| Rebecca B Bodie |
Corporate Officer |
Apr 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260130000342 | TN | Part a Provider - Skilled Nursing Facility | 5496233587 | Practice locations: Copperhill, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
166 Industrial Dr
Copperhill, TN 37317-5632
Mailing address
730 Cool Springs Blvd Ste 200
Franklin, TN 37067-7290
Phone (615) 550-9453
Other names
- Diversicare of Copper Basin
Other providers in Copperhill, TN
- Copper Basin Community Hospital Inc
- Copper Basin Community Hospital Inc
- Copper Basin Community Hospital Inc.
- Copper Basin Family Practice Inc.
- Copper Basin Surgical Associates, Inc
- Doctors of General Practice and Healing Arts, PC
- East Tennessee Eyecare Associates, PC
- Gregory Alan Eckel
- Emcare Physician Providers, Inc
- Family Medical Clinic PLLC
All providers in Copperhill, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.