Campbell County Hma LLC
Organization Active NPI Skilled Nursing Facility · La Follette, TN
NPI 1023099447 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1023099447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0000000018 (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
- Organization subpart
- No
Authorized official
- Name
- Paula M Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Owners & managing parties with NPI records 1
-
Murugesen Dhandapani, M.D.
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 9
Facilities with the same owner 120
Practitioners 13
-
Rebekah Elizabeth Blair, APRN, FNP-C
-
Kimberly Campbell, ARNP
-
Daryn Nichole Hatmaker, FNP-C
-
Emily Nicole Lynch, D.O.
-
Cynthia May Miller, ANP
-
Marae Lynn Nolan, APRN
-
Suzanne M Pearman, D.O.
-
Tarra A Wilson, FNP
-
Murugesen Dhandapani, M.D.
-
Elie Mansour, M.D.
-
Harjeet Narula, M.D.
Affiliated clinicians 4
-
Murugesen Dhandapani, M.D.
-
Elie Mansour, M.D.
-
Harjeet Narula, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Tennova Lafollette Health and Rehab Center
- 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
- Active
- Certified beds
- 98 · 58.1 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2191996 | Tennova Lafollette Health and Rehabilitation Ctr | Certificate of waiver | Sep 2, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
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
- LLC · Proprietary
- 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
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons |
Corporate Officer |
Jan 27, 2014 | |
| Corporate Director |
Jan 1, 2020 | ||
| Nathaniel K Summar |
Corporate Director |
Jul 14, 2017 | |
| Justin D Pitt |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 | ||
| Health Management Associates LLC |
5% Or Greater Direct Ownership Interest | Dec 31, 2016 | 100% |
| William Bradley Cash |
Corporate Officer |
Jun 1, 2018 | |
| Hma-Tri Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 100% |
| Community Health Systems Inc |
5% Or Greater Indirect Ownership Interest | Jan 27, 2014 | 100% |
| Donald S Williams |
Operational/Managerial Control | Jan 2, 2025 | |
| Murugesen Dhandapani |
Operational/Managerial Control | Dec 29, 2000 | |
| Adp of the SNF | Feb 10, 2025 | ||
| Jason Kevin Johnson |
Corporate Officer |
Jan 6, 2020 | |
| Roman Gabriel Ottinger |
Corporate Officer |
Jan 6, 2020 | |
| Paula M Lalor |
Corporate Director |
Apr 1, 2017 | |
| Edna S Buffington-Price |
Corporate Director |
Mar 1, 2022 | |
| Christopher G Cobb |
Corporate Officer |
Apr 1, 2017 | |
| CHS Community Health Systems Inc |
5% Or Greater Indirect Ownership Interest | Jan 27, 2014 | 100% |
| Lindsey C Lawson |
Operational/Managerial Control | Aug 21, 2024 | |
| Adp of the SNF | Feb 10, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111121000387 | TN | Part a Provider - Skilled Nursing Facility | 3173795168 | Practice locations: La Follette, TN |
National Provider Directory
- Tax ID family
- Campbell County Hma LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000018 | TN | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445115 | Medicaid | TN |
Other names
- Tennova LaFollette Health & Rehabilitation Center
Other providers in La Follette, TN
- Tammy Denise Buckner
- Lindsey Presley Bull
- John S Burrell
- Gary Adam Byrd
- Johnny M Byrge
- Campbell County Hma LLC
- Campbell County Hma LLC
- Campbell County Hma, LLC
- Campbell County Hma, LLC
- Campbell County Hma, LLC
All providers in La Follette, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.