Active NPI
The Village at Germantown Inc
- Skilled Nursing Facility
- Germantown, TN
National Provider Identifier
1023065893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE VILLAGE AT GERMANTOWN INC
- Practice address
- 7820 Walking Horse Cir
Germantown, TN 38138-2100 - Phone
- (901) 752-2524
- Fax
- (901) 752-2598
- NPI assigned
- May 27, 2006
- 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
- Mrs. Juanita M. Lavy
- Title
- Controller
- Phone
- (901) 752-2524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | TN | Primary |
Addresses
Primary practice location
7820 Walking Horse Cir
Germantown, TN 38138-2100
Mailing address
7820 Walking Horse Cir
Germantown, TN 38138-2100
Phone (901) 752-2524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060613000292 | TN | Part A Provider - Skilled Nursing Facility | 3577574839 | Practice locations: Germantown, TN |
Skilled nursing facility certification: CCN 445482
- Legal name
- THE VILLAGE AT GERMANTOWN INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jul 21, 2006
- Last certification
- Sep 22, 2022
- Beds
- 55
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation
- Incorporated
- Jul 26, 2000 in TN
- Enrollment address
- 7820 Walking Horse Circle
Germantown, TN 38138 - Nursing home name
- THE VILLAGE AT GERMANTOWN
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Village at Germantown
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Other
- Certified
- Jul 21, 2006
- Medicare certification status
- Active
- Certified beds
- 55
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Julie Repking | Operational/Managerial Control | Feb 1, 2014 | 90% |
| Junaita Lavy | Operational/Managerial Control | Mar 27, 2015 | 60% |
| Donald Selheimer | Operational/Managerial Control | Mar 1, 2015 | 90% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428883200000",
"number": "1023065893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7820 WALKING HORSE CIR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382100",
"telephone_number": "901-752-2524",
"fax_number": "901-752-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7820 WALKING HORSE CIR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382100",
"telephone_number": "901-752-2524",
"fax_number": "901-752-2598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VILLAGE AT GERMANTOWN INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2015-04-13",
"status": "A",
"authorized_official_last_name": "LAVY",
"authorized_official_first_name": "JUANITA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "901-752-2524",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.