NPIMap

Organization Active NPI

Campbell County Hma LLC

  • Skilled Nursing Facility
  • La Follette, TN
National Provider Identifier
1023099447
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000018 Issued in TN
Legal business name
CAMPBELL COUNTY HMA LLC
Practice address
200 Torrey Rd
La Follette, TN 37766-2728
Phone
(423) 907-1383
Fax
(423) 907-1189
NPI assigned
Nov 11, 2005
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000018 TN Primary

Addresses

Primary practice location

200 Torrey Rd
La Follette, TN 37766-2728

Mailing address

923 E Central Ave
La Follette, TN 37766-2768
Phone (423) 907-1200

Other identifiers 1

IdentifierTypeStateIssuer
0445115MedicaidTN

Other names 1

  • Tennova LaFollette Health & Rehabilitation Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000387 TN Part A Provider - Skilled Nursing Facility 3173795168 Practice locations: La Follette, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023099447. Details of each certification follow.

Skilled nursing facility certification: CCN 445115

Legal name
CAMPBELL COUNTY HMA LLC
Doing business as
TENNOVA LAFOLLETTE HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 15, 1976
Last certification
Jan 23, 2025
Beds
98
Ownership / control type
Corporation
Multi-facility organization
Community Health Systems
Most recent change of ownership
Oct 1, 2011
Organization structure
LLCProprietary
Incorporated
Jun 10, 2011 in TN
Enrollment address
200 Torrey Rd
La Follette, TN 37766-2728
Nursing home name
TENNOVA LAFOLLETTE HEALTH AND REHAB CENTER

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tennova Lafollette Health and Rehab CenterCCN 445115 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 15, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9858.1 residents per day on average

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
44D2191996Tennova Lafollette Health and Rehabilitation Ctr200 Torrey Road, Lafollette, TN 37766Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Campbell County Hma LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Jan 27, 2014
Corporate DirectorPresident/Board Member Jan 1, 2020
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 14, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
Health Management Associates LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Dec 31, 2016 100%
William Bradley Cash Individual Corporate OfficerExec VP Jun 1, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%
Donald S Williams Individual Operational/Managerial Control Jan 2, 2025
Murugesen Dhandapani Individual Operational/Managerial Control Dec 29, 2000
Adp of the SNF Feb 10, 2025
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Paula M Lalor Individual Corporate DirectorSr. Director Apr 1, 2017
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 1, 2017
CHS Community Health Systems Inc Organization, Franklin, TN Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%
Lindsey C Lawson Individual Operational/Managerial Control Aug 21, 2024
Adp of the SNF Feb 10, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 120

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Campbell County Hma LLC

    dba Tennova Primary Care Caryville

    • Rural Health Clinic/Center
    • Caryville, TN
    • NPI 1023613361

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Campbell County Hma LLC

    dba Tennova Primary Care Clinton

    • Rural Health Clinic/Center
    • Clinton, TN
    • NPI 1093300717

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Campbell County Hma LLC

    dba Tennova LaFollette Medical Center Clinic

    • Rural Health Clinic/Center
    • La Follette, TN
    • NPI 1407838261

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Campbell County Hma LLC
    • Rural Health Clinic/Center
    • La Follette, TN
    • NPI 1639183353

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Campbell County Hma, LLC

    dba Tennova Healthcare-LaFollette Medical Center

    • Psychiatric Hospital Unit
    • La Follette, TN
    • NPI 1548241953

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Campbell County Hma, LLC

    dba Tennova Healthcare-LaFollette Medical Center

    • General Acute Care Hospital
    • La Follette, TN
    • NPI 1639151301

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Campbell County Hma, LLC

    dba Tennova Healthcare-LaFollette Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • La Follette, TN
    • NPI 1831171693

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Cocke County Hma, LLC

    dba Tennova Healthcare-Newport Medical Center

    • General Acute Care Hospital
    • Newport, TN
    • NPI 1972576247

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Jefferson County Hma LLC

    dba Tennova Healthcare-Jefferson Memorial Hospital

    • General Acute Care Hospital
    • Jefferson City, TN
    • NPI 1972585347

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Metro Knoxville Hma LLC

    dba Tennova Healthcare North Knoxville Medical Center

    • General Acute Care Hospital
    • Powell, TN
    • NPI 1043292899

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • General Acute Care Hospital
    • Birmingham, AL
    • NPI 1023061405

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Psychiatric Hospital Unit
    • Birmingham, AL
    • NPI 1043263221

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
View all 120

Practitioners & affiliated clinicians

Practitioners 4

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 4

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": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1023099447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 E CENTRAL AVE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662768",
            "telephone_number": "423-907-1200",
            "fax_number": "423-907-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TORREY RD",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662728",
            "telephone_number": "423-907-1383",
            "fax_number": "423-907-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL COUNTY HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445115",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova LaFollette Health & Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tennova LaFollette Health & Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.