Organization Active NPI

Church Hill TN Opco LLC

  • Skilled Nursing Facility
  • Church Hill, TN
National Provider Identifier
1154907079
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHURCH HILL TN OPCO LLC
Practice address
701 W Main Blvd
Church Hill, TN 37642-3915
Phone
(423) 357-7178
NPI assigned
Mar 22, 2021
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
David Herskowitz
Title
Manager
Phone
(212) 444-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

701 W Main Blvd
Church Hill, TN 37642-3915

Mailing address

1449 37TH St Ste 605
Brooklyn, NY 11218-4382
Phone (646) 649-0478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211129001078 TN Part A Provider - Skilled Nursing Facility 4082012729 Practice locations: Church Hill, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154907079. Details of each certification follow.

Skilled nursing facility certification: CCN 445237

Legal name
CHURCH HILL TN OPCO LLC
Doing business as
CHURCH HILL POST-ACUTE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 23, 1989
Last certification
Nov 18, 2024
Beds
124
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
701 W Main Blvd
Church Hill, TN 37642-3915
Nursing home name
CHURCH HILL POST-ACUTE AND REHABILITATION CENTER
Affiliated entity
PLAINVIEW HEALTHCARE PARTNERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Church Hill Post-Acute and Rehabilitation CenterCCN 445237 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 23, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12489.6 residents per day on average
Chain
Plainview Healthcare Partners9 facilities in the chain
Special focus status
SFF
Penalties (3 years)
2Fines totaling $250,780

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
44D0859568Church Hill TN Opco LLC701 West Main Blvd, Church Hill, TN 37642Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
David Herskowitz Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 20%
Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Indirect Ownership Interest Jun 1, 2021 20%
Isaac Moskowitz Individual Indirect Ownership Interest Jun 1, 2021 39%
Jeffrey Arem Individual Indirect Ownership Interest Jun 1, 2021 39%
Mary Stevenson Individual Operational/Managerial Control Feb 17, 2025
Adp of the SNF Feb 17, 2025
Juanchichos T Ventura Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Aaron Kasper Individual Indirect Ownership Interest Jun 1, 2021 2%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1154907079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 37TH ST STE 605",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184382",
            "telephone_number": "646-649-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MAIN BLVD",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376423915",
            "telephone_number": "423-357-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH HILL TN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "HERSKOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-444-1991"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Church Hill, TN

Sources for this page

Verify at the official NPI Registry.