Active NPI
Columbia Operations, LLC
Doing business as Life Care Center of Columbia
- Skilled Nursing Facility
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 179
- Legal business name
- COLUMBIA OPERATIONS, LLC
- Doing business as
- Life Care Center of Columbia
- Practice address
- 841 W James Campbell Blvd
Columbia, TN 38401-4668 - Phone
- (931) 388-5035
- Fax
- (931) 380-9213
- NPI assigned
- Jul 14, 2006
- Last updated
- Jul 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy S Cross
- Title
- Assistant Secretary
- Phone
- (423) 473-5751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 179 | TN | Primary |
Addresses
Primary practice location
841 W James Campbell Blvd
Columbia, TN 38401-4668
Mailing address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440241 | Medicaid | TN |
Other names 1
- Life Care Center of Columbia
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060823000124 | TN | Part A Provider - Skilled Nursing Facility | 8224031778 | Practice locations: Columbia, TN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1205852399. Details of each certification follow.
Skilled nursing facility certification: CCN 445236
- Legal name
- COLUMBIA OPERATIONS, LLC
- Doing business as
- LIFE CARE CENTER OF COLUMBIA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 28, 1989
- Last certification
- Dec 8, 2021
- Beds
- 123
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Columbia Operations LLC
- Organization structure
- LLC
- Enrollment address
- 841 W James M Campbell Blvd
Columbia, TN 38401-4668 - Nursing home name
- LIFE CARE CENTER OF COLUMBIA
- Affiliated entity
- LIFE CARE CENTERS OF AMERICA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Life Care Center of Columbia
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 28, 1989
- Medicare certification status
- Active
- Certified beds
- 123
- Chain
- Life Care Centers of America
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0855921 | Life Care Center of Columbia | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Brandon Whiteside | W-2 Managing Employee | Aug 26, 2018 | 100% |
| Forrest L Preston | 5% Or Greater Indirect Ownership Interest | Feb 6, 2006 | 100% |
| Life Care Affiliates II | 5% Or Greater Direct Ownership Interest | Feb 6, 2006 | 99% |
| Joan E Thurmond | Corporate Officer | Feb 6, 2006 | |
| Cindy S Cross | Corporate Officer | Feb 6, 2006 | |
| Life Care Centers of America, Inc. | Operational/Managerial Control | Mar 3, 2006 | 100% |
Owners & managing parties with NPI records 25
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Life Care Center of Cleveland
- Skilled Nursing Facility
- Cleveland, TN
- NPI 1083656615
Operational/Managerial Control
-
dba Ridgeview Terrace of Life Care
- Skilled Nursing Facility
- Rutledge, TN
- NPI 1093749939
Operational/Managerial Control
-
dba Life Care Center of Athens
- Skilled Nursing Facility
- Athens, TN
- NPI 1295777894
Operational/Managerial Control
-
dba Life Care Center of Morristown
- Skilled Nursing Facility
- Morristown, TN
- NPI 1427083799
Operational/Managerial Control
-
dba The Heritage Center
- Skilled Nursing Facility
- Morristown, TN
- NPI 1487685418
Operational/Managerial Control
-
dba Life Care Center of Greeneville
- Skilled Nursing Facility
- Greeneville, TN
- NPI 1598796526
Operational/Managerial Control
-
dba Life Care Center of Tullahoma
- Skilled Nursing Facility
- Tullahoma, TN
- NPI 1780611434
Operational/Managerial Control
-
dba Evergreen House Health Center
- Skilled Nursing Facility
- East Providence, RI
- NPI 1316907843
Operational/Managerial Control
-
dba Life Care Center of Orlando
- Skilled Nursing Facility
- Orlando, FL
- NPI 1124044912
Operational/Managerial Control
-
dba Life Care Center of Yuma
- Skilled Nursing Facility
- Yuma, AZ
- NPI 1144271818
Operational/Managerial Control
-
dba Life Care Center of Winter Haven
- Skilled Nursing Facility
- Winter Haven, FL
- NPI 1164440103
Operational/Managerial Control
-
dba Life Care Center at Wells Crossing
- Skilled Nursing Facility
- Orange Park, FL
- NPI 1235155680
Operational/Managerial Control
Facilities with the same owner 193
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Life Care Center of Blount County
- Skilled Nursing Facility
- Louisville, TN
- NPI 1124499777
Life Care Centers of America, Inc.
-
dba Life Care Center of Centerville
- Skilled Nursing Facility
- Centerville, TN
- NPI 1326074402
Life Care Centers of America, Inc.
-
dba Life Care Center of Collegedale
- Skilled Nursing Facility
- Collegedale, TN
- NPI 1992736912
Life Care Centers of America, Inc.
-
dba Life Care Center of Crossville
- Skilled Nursing Facility
- Crossville, TN
- NPI 1154572618
Life Care Centers of America, Inc.
-
dba Life Care Center of Rhea County
- Skilled Nursing Facility
- Dayton, TN
- NPI 1952542532
Life Care Centers of America, Inc.
-
dba Life Care Center of East Ridge
- Skilled Nursing Facility
- East Ridge, TN
- NPI 1316482458
Life Care Centers of America, Inc.
-
dba Life Care Center of Elizabethton
- Skilled Nursing Facility
- Elizabethton, TN
- NPI 1083645014
Life Care Centers of America, Inc.
-
dba Life Care Center of Gray
- Skilled Nursing Facility
- Gray, TN
- NPI 1942234885
Life Care Centers of America, Inc.
-
dba Life Care Center of Hickory Woods
- Skilled Nursing Facility
- Antioch, TN
- NPI 1538449608
Life Care Centers of America, Inc.
-
dba Hale Anuenue Restorative Care Center
- Skilled Nursing Facility
- Cleveland, TN
- NPI 1376600098
Life Care Centers of America, Inc.
-
dba Life Care Center of Jefferson City
- Skilled Nursing Facility
- Jefferson City, TN
- NPI 1093176950
Life Care Centers of America, Inc.
-
dba Life Care Center of Cleveland
- Skilled Nursing Facility
- Cleveland, TN
- NPI 1083656615
Life Care Centers of America, Inc.
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.
-
- Family Medicine Physician
- Columbia, TN
- NPI 1215029897
-
- Internal Medicine Physician
- Columbia, TN
- NPI 1962470567
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": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783641600000",
"number": "1205852399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 KEITH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123713",
"telephone_number": "423-473-5751",
"fax_number": "423-339-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 W JAMES CAMPBELL BLVD",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014668",
"telephone_number": "931-388-5035",
"fax_number": "931-380-9213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A",
"authorized_official_last_name": "CROSS",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "423-473-5751"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440241",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "284 Merchant St",
"city": "Ste Genevieve",
"state": "MO",
"country_code": "US",
"postal_code": "636701610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Life Care Center of Columbia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, TN
- Columbia Eye Physicians PLLC
- Columbia Family Dentistry
- Columbia Home Medical Inc
- Columbia Multi Specialty Clinic PLLC
- Columbia Oncology
- Columbia Orthodontics, PC
- Columbia Pediatric Clinic, Inc. (Columbia Pediatrics)
- Columbia Premier Urology PLLC
- Columbia Regional Medical Center, LLC (CORE Physicians)
- Columbia Senior Living, LLC (Poplar Estates Assisted Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.