Crossville TN Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CROSSVILLE TN OPCO LLC

Practice address

456 Wayne Ave
Crossville, TN 38555-4206

Phone

(931) 484-6129

NPI assigned

May 7, 2026

Organization subpart

No

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

Authorized official

Name

Joseph Lieberman

Title

Vice President of Procurement

Phone

(516) 855-5504

Specialties & licenses 1

Addresses

Other names 1

• WyndRidge Health & Rehab Center Doing business as

Locations

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1114854585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 WAYNE AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554206",
            "telephone_number": "931-484-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 WAYNE AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554206",
            "telephone_number": "931-484-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE TN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "516-855-5504"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WyndRidge Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Crossville, TN
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.