Active NPI
Dickson Operator LLC
Doing business as Dickson Health and Rehab
- Skilled Nursing Facility
- Dickson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000072
- Legal business name
- DICKSON OPERATOR LLC
- Doing business as
- Dickson Health and Rehab
- Practice address
- 901 N Charlotte St
Dickson, TN 37055-1010 - Phone
- (615) 446-5171
- Fax
- (615) 446-7082
- NPI assigned
- Mar 27, 2008
- Last updated
- Jan 23, 2015
- 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
- Diane K. Patterson
- Title
- Administrator
- Phone
- (615) 446-5171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000072 | TN | Primary |
Addresses
Primary practice location
901 N Charlotte St
Dickson, TN 37055-1010
Mailing address
901 N Charlotte St
Dickson, TN 37055-1010
Phone (615) 446-5171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440050 (ICF) | Medicaid | TN | |
| 0445477 (SNF) | Medicaid | TN |
Other names 1
- Dickson Health and Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080528000086 | FL | Part A Provider - Skilled Nursing Facility | 1456421858 | Practice locations: Dickson, TN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1215109459. Details of each certification follow.
Skilled nursing facility certification: CCN 445477
- Legal name
- DICKSON OPERATOR LLC
- Doing business as
- DICKSON HEALTH AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 13, 2005
- Last certification
- Mar 6, 2025
- Beds
- 70
- Ownership / control type
- Individual
- Most recent change of ownership
- Jan 1, 2026
- Organization structure
- LLC
- Incorporated
- Mar 4, 2008 in FL
- Enrollment address
- 901 N Charlotte St
Dickson, TN 37055-1010 - Nursing home name
- DICKSON HEALTH AND REHAB
- Affiliated entity
- MISSION HEALTH COMMUNITIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Dickson Health and Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jan 13, 2005
- Medicare certification status
- Active
- Certified beds
- 70
- Chain
- Mission Health Communities
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 |
|---|---|---|---|
| 44D0306788 | Dickson Operator, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Stuart D Lindeman | 5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 5% |
| Corporate Officer | Jan 1, 2015 | ||
| Jamie Yoakum | Corporate Officer | Jan 19, 2024 | |
| Operational/Managerial Control | Jan 19, 2024 | ||
| Michelle Barnes | Operational/Managerial Control | Dec 1, 2018 | |
| Barres, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 5% |
| GBD LLC | 5% Or Greater Direct Ownership Interest | Mar 4, 2008 | 100% |
| Operational/Managerial Control | Jan 1, 2015 | ||
| Joseph M Passero | 5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 5% |
| Scott N Feuer | 5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 45% |
| Mission Health of Georgia, LLC | Operational/Managerial Control | Jan 1, 2015 | |
| T and C Capital Assets, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 5% |
| Bryan L Crino | 5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 45% |
| Windward Health Partners LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 90% |
Facilities with the same owner 38
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Gallaway Health and Rehab
- Skilled Nursing Facility
- Gallaway, TN
- NPI 1235301326
Barres, LLC, GBD LLC, Mission Health of Georgia, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
dba Reelfoot Manor Health and Rehab
- Skilled Nursing Facility
- Tiptonville, TN
- NPI 1861664955
Barres, LLC, GBD LLC, Mission Health of Georgia, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
dba Arma Health and Rehab
- Skilled Nursing Facility
- Arma, KS
- NPI 1144525031
Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
dba Bainbridge Health and Rehab
- Skilled Nursing Facility
- Bainbridge, GA
- NPI 1508038696
Barres, LLC, GBD LLC, Mission Health of Georgia, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
- Skilled Nursing Facility
- Cottonwood Falls, KS
- NPI 1639728686
Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
dba Colby Health and Rehab
- Skilled Nursing Facility
- Colby, KS
- NPI 1285824797
Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
dba Columbus Health and Rehab
- Skilled Nursing Facility
- Columbus, WI
- NPI 1750376489
Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
- Skilled Nursing Facility
- Downs, KS
- NPI 1619526662
Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
- Skilled Nursing Facility
- Edwardsville, KS
- NPI 1487203444
Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
- Skilled Nursing Facility
- El Dorado, KS
- NPI 1568011526
Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
- Skilled Nursing Facility
- Eskridge, KS
- NPI 1083263040
Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
-
dba Fort Gaines Health and Rehab
- Skilled Nursing Facility
- Fort Gaines, GA
- NPI 1750553996
Barres, LLC, GBD LLC, Mission Health of Georgia, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC
Practitioners & affiliated clinicians
Practitioners 3
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
- Goodlettsville, TN
- NPI 1447256490
-
- Internal Medicine Physician
- Lawrenceburg, TN
- NPI 1144305152
-
- Internal Medicine Physician
- Dickson, TN
- NPI 1891725479
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": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421971200000",
"number": "1215109459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N CHARLOTTE ST",
"city": "DICKSON",
"state": "TN",
"postal_code": "370551010",
"telephone_number": "615-446-5171",
"fax_number": "615-446-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N CHARLOTTE ST",
"city": "DICKSON",
"state": "TN",
"postal_code": "370551010",
"telephone_number": "615-446-5171",
"fax_number": "615-446-7082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DICKSON OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2015-01-23",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "615-446-5171"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0000000072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440050 (ICF)",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445477 (SNF)",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dickson Health and Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dickson, TN
- Dickson Medical Associates, PC (DMA-South)
- Dickson Medical Equipment
- Dickson Medical Equipment Inc.
- Dickson Medical Equipment, Inc
- Dickson Medical Equipment, Inc.
- Dickson Optical PC
- Dickson Orthopaedic and Sports Medicine PLLC
- Dickson Orthotics & Prosthetics
- Dickson Pain and Wellness PLLC
- Dickson Pediatric Dentistry PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.