Organization Active NPI

Dickson Operator LLC

Doing business as Dickson Health and Rehab

  • Skilled Nursing Facility
  • Dickson, TN
National Provider Identifier
1215109459
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000072 Issued in TN
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7440050 (ICF)MedicaidTN
0445477 (SNF)MedicaidTN

Other names 1

  • Dickson Health and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RehabCCN 445477 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jan 13, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7061.3 residents per day on average
Chain
Mission Health Communities30 facilities in the chain

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
44D0306788Dickson Operator, LLC901 N Charlotte, Dickson, TN 37055Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Stuart D Lindeman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 5%
Corporate Officer Jan 1, 2015
Jamie Yoakum Individual Corporate OfficerCfo Jan 19, 2024
Operational/Managerial ControlCfo Jan 19, 2024
Michelle Barnes Individual Operational/Managerial Control Dec 1, 2018
Barres, LLC Organization, Tampa, FL LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2015 5%
GBD LLC Organization, Tampa, FL LLC 5% Or Greater Direct Ownership Interest Mar 4, 2008 100%
Operational/Managerial Control Jan 1, 2015
Joseph M Passero Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 5%
Scott N Feuer Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 45%
Mission Health of Georgia, LLC Organization, Tampa, FL LLC Operational/Managerial Control Jan 1, 2015
T and C Capital Assets, LLC Organization, Tampa, FL LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2015 5%
Bryan L Crino Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 45%
Windward Health Partners LLC Organization, Tampa, FL 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.

View all 38

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.

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

Sources for this page

Verify at the official NPI Registry.