Organization Active NPI

Newport TN Opco LLC

  • Skilled Nursing Facility
  • Newport, TN
National Provider Identifier
1013651272
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NEWPORT TN OPCO LLC
Practice address
135 Generation Dr
Newport, TN 37821-8018
Phone
(423) 623-0929
NPI assigned
Apr 25, 2022
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
David Rubinstein
Title
Manager
Phone
(212) 444-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

135 Generation Dr
Newport, TN 37821-8018

Mailing address

23645 Mercantile Rd Ste J
Beachwood, OH 44122-5936
Phone (212) 444-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220714004142 TN Part A Provider - Skilled Nursing Facility 9638550163 Practice locations: Newport, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013651272. Details of each certification follow.

Skilled nursing facility certification: CCN 445504

Legal name
NEWPORT TN OPCO LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 15, 2011
Last certification
Jun 26, 2024
Beds
150
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Plainview healthcare
Organization structure
LLCProprietary
Incorporated
Apr 7, 2022 in DE
Enrollment address
135 Generation Dr
Newport, TN 37821-8018
Nursing home name
NEWPORT TN OPCO LLC
Affiliated entity
PLAINVIEW HEALTHCARE PARTNERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Newport TN Opco LLCCCN 445504 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 15, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15090.4 residents per day on average
Chain
Plainview Healthcare Partners9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0680773Newport TN Opco LLC135 Generation Dr, Newport, TN 37821Certificate of waiverMay 9, 2027

National Provider Directory

National Provider Directory

Locations

23645 Mercantile Rd
Ste J
Beachwood, OH 44122

135 Generation Dr
Newport, TN 37821
Phone (423) 562-0760

Networks

  • VA HMO C-SNP

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Newport TN Holdco LLC Organization, Newport, TN Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jun 1, 2022 100%
David Herskowitz Individual Operational/Managerial Control May 1, 2022
Adp of the SNF May 1, 2022
Isaac Moskowitz Individual 5% Or Greater Direct Ownership Interest Jun 1, 2022 39%
Jeffrey Arem Individual 5% Or Greater Direct Ownership Interest Jun 1, 2022 39%

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1013651272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23645 MERCANTILE RD STE J",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225936",
            "telephone_number": "212-444-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GENERATION DR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378218018",
            "telephone_number": "423-623-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT TN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-444-1991"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

Verify at the official NPI Registry.