Active NPI
Newport TN Opco LLC
- Skilled Nursing Facility
- Newport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 15, 2011
- Medicare certification status
- Active
- Certified beds
- 150
- Chain
- Plainview Healthcare Partners
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0680773 | Newport TN Opco LLC | Certificate of waiver | May 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Newport TN Holdco LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2022 | 100% |
| David Herskowitz | Operational/Managerial Control | May 1, 2022 | |
| Adp of the SNF | May 1, 2022 | ||
| Isaac Moskowitz | 5% Or Greater Direct Ownership Interest | Jun 1, 2022 | 39% |
| Jeffrey Arem | 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.
-
- Internal Medicine Physician
- Newport, TN
- NPI 1700856135
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1457544868
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.