NPIMap

Organization Active NPI

Claiborne Medical Center

Doing business as Claiborne County Nursing Home

  • Skilled Nursing Facility
  • Tazewell, TN
National Provider Identifier
1154435030
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000040 Issued in TN
Legal business name
CLAIBORNE MEDICAL CENTER
Doing business as
Claiborne County Nursing Home
Practice address
1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone
(423) 626-4211
Fax
(423) 626-9926
NPI assigned
Aug 18, 2006
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Mr. John T Geppi
Title
Evp/Cfo
Phone
(865) 374-6864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000040 TN Primary

Addresses

Primary practice location

1850 Old Knoxville Rd
Tazewell, TN 37879-3625

Mailing address

1420 Centerpoint Blvd BLDG C
Knoxville, TN 37932-1960
Phone (865) 374-6864

Other identifiers 1

IdentifierTypeStateIssuer
0445071MedicaidTN

Other names 1

  • Claiborne County Nursing Home Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address claibornemedicalcenter@yourcarecommunity.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140626001475 TN Part A Provider - Skilled Nursing Facility 5395969828 Practice locations: Tazewell, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154435030. Details of each certification follow.

Skilled nursing facility certification: CCN 445071

Legal name
CLAIBORNE MEDICAL CENTER
Doing business as
CLAIBORNE HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 22, 1968
Last certification
Aug 9, 2023
Beds
100
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 2013 in TN
Enrollment address
1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Nursing home name
CLAIBORNE HEALTH AND REHABILITATION CENTER

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Claiborne Health and Rehabilitation CenterCCN 445071 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 22, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10064.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Claiborne Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/ab055465-7179-491b-bb98-b210ff152aa7

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Amy Delong Individual Corporate OfficerVice President/Controller Mar 4, 2024 100%
Covenant Health Organization, Knoxville, TN Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Apr 1, 2014 100%
Joseph Christopher Dolan Individual Corporate OfficerCovenant Health Cfo/Evp Jul 31, 2023 100%
Rita Griffin Individual Corporate OfficerSNF Administrator Jan 4, 2026 100%
Amy Herndon Individual Corporate OfficerCfo Aug 2, 2024 100%
Luis C Pannocchia Individual Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jan 1, 2019
James Vandersteeg Individual Corporate OfficerCeo/President of Covenant Health Apr 1, 2016 100%
Gordon Lintz Individual Corporate OfficerCao Aug 2, 2024 100%
Robert V Boos Individual Corporate OfficerSenior Vice President Mar 2, 2026 100%

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 14

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

View all 14

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.

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1154435030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CENTERPOINT BLVD BLDG C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321960",
            "telephone_number": "865-374-6864",
            "fax_number": "865-374-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 OLD KNOXVILLE RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793625",
            "telephone_number": "423-626-4211",
            "fax_number": "423-626-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "GEPPI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "865-374-6864",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445071",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "claibornemedicalcenter@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "1850 Old Knoxville Rd",
            "city": "Tazewell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378793625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Claiborne County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Claiborne County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.