Knoxville Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KNOXVILLE OPCO LLC

Doing business as

Creekview Health and Rehabilitation

Practice address

3300 N Broadway St
Knoxville, TN 37917-2733

Phone

(865) 689-2052

NPI assigned

Jun 11, 2019

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mick Vujanovic

Title

Ceo

Phone

(502) 667-8150

Specialties & licenses 2

Addresses

Other names 1

• Creekview Health and Rehabilitation Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Francis Hasemeier, DO

  • Family Medicine Physician
  • Dandridge, TN
  • NPI 1952365017
  NPD (past)
• Jeffrey Scott Garland

  • Internal Medicine Physician
  • Woodlawn, VA
  • NPI 1306878756
  NPD (past)
• Madhan Mohan, MD

  • Internal Medicine Physician
  • Pineville, KY
  • NPI 1669482816
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1013576297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CHEROKEE RIDGE WAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051600",
            "telephone_number": "502-667-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N BROADWAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379172733",
            "telephone_number": "865-689-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "VUJANOVIC",
        "authorized_official_first_name": "MICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-667-8150"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekview Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creekview Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.