NPIMap

Organization Active NPI

Millington Opco LP

  • Skilled Nursing Facility
  • Millington, TN
National Provider Identifier
1194702902
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000316 Issued in TN
Legal business name
MILLINGTON OPCO LP
Practice address
5081 Easley St
Millington, TN 38053-2105
Phone
(901) 873-3290
Fax
(901) 873-0531
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Moshe Kelman
Title
Ceo
Phone
(786) 987-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000316 TN Primary

Addresses

Primary practice location

5081 Easley St
Millington, TN 38053-2105

Mailing address

5081 Easley St
Millington, TN 38053-2105
Phone (901) 873-3290

Other identifiers 2

IdentifierTypeStateIssuer
044-5425MedicaidTN
744-0556MedicaidTN

Other names 1

  • MILLINGTON HEALTH CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030418000004 TN Part A Provider - Skilled Nursing Facility 8527977495 Practice locations: Millington, TN

Skilled nursing facility certification: CCN 445425

Legal name
MILLINGTON OPCO LP
Doing business as
MILLINGTON HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 2001
Last certification
Mar 7, 2024
Beds
85
Ownership / control type
Partnership
Organization structure
OtherProprietary
Incorporated
Feb 10, 2005 in GA
Enrollment address
5081 Easley St
Millington, TN 38053-2105
Nursing home name
MILLINGTON HEALTHCARE CENTER
Affiliated entity
WELLINGTON HEALTH CARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Millington Healthcare CenterCCN 445425
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jul 1, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8576.7 residents per day on average
Chain
Wellington Health Care Services14 facilities in the chain
Penalties (3 years)
2Fines totaling $226,623

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
44D0871708Millington Health Care Center5081 Easley Avenue, Millington, TN 38053Certificate of waiverJun 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Andwell Investments, LLC Organization, Roswell, GA Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 10, 2012 99.99%
Elkins Road Associates LLC Organization, Roswell, GA For-profit General Partnership Interest Jul 31, 2007 0.1%
Moshe Kelman Individual Corporate OfficerCeo Jul 1, 2023 2%
Wellington Healthcare Services LP Organization, Roswell, GA 5% Or Greater Direct Ownership Interest Jul 31, 2007 99.99%
James J Andrews Individual 5% Or Greater Indirect Ownership Interest Jan 10, 2012 100%
Corporate OfficerPresident of Provider Jul 3, 2007
Corporate DirectorDirector of the Provider Jul 31, 2007
Operational/Managerial ControlPresident of Provider Jul 31, 2007
Felicia Nicks Speaks Individual W-2 Managing EmployeeFacility Administrator Dec 20, 2021
Teresa Bailey Individual W-2 Managing EmployeeVP of Business Office Services Jul 1, 2023

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1194702902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5081 EASLEY ST",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380532105",
            "telephone_number": "901-873-3290",
            "fax_number": "901-873-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5081 EASLEY ST",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380532105",
            "telephone_number": "901-873-3290",
            "fax_number": "901-873-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLINGTON OPCO LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "KELMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-987-3707"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044-5425",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744-0556",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLINGTON HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MILLINGTON HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millington, TN

Sources for this page

Verify at the official NPI Registry.