NPIMap

Organization Active NPI

Spring Meadows SNF Operations LLC

Doing business as Spring Meadows Health and Rehabilitation

  • Skilled Nursing Facility
  • Clarksville, TN
National Provider Identifier
1245050731
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRING MEADOWS SNF OPERATIONS LLC
Doing business as
Spring Meadows Health and Rehabilitation
Practice address
220 Highway 76
Clarksville, TN 37043-4102
Phone
(931) 552-0219
NPI assigned
Oct 10, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Joseph Lieberman
Title
Vice President of Procurement
Phone
(646) 275-4510

Specialties & licenses 1

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

Addresses

Primary practice location

220 Highway 76
Clarksville, TN 37043-4102

Mailing address

220 Highway 76
Clarksville, TN 37043-4102

Other names 1

  • Spring Meadows Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250113000291 TN Part A Provider - Skilled Nursing Facility 7416485917 Practice locations: Clarkesville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245050731. Details of each certification follow.

Skilled nursing facility certification: CCN 445402

Legal name
SPRING MEADOWS SNF OPERATIONS, LLC
Doing business as
SPRING MEADOWS HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1997
Last certification
Jul 11, 2024
Beds
121
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Nov 1, 2024
Organization structure
LLCProprietary
Enrollment address
220 TN -76
Clarkesville, TN 37043
Nursing home name
SPRING MEADOWS HEALTH AND REHABILITATION
Affiliated entity
LYON HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Spring Meadows Health and RehabilitationCCN 445402 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
121110.4 residents per day on average
Chain
Lyon Healthcare11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Jennifer Robinson Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC, Holding company, For-profit Operational/Managerial Control Nov 1, 2024
Indirect Ownership Interest Nov 1, 2024 47%
Saessy Irrevocable Trust Organization, Far Rockaway, NY For-profit Indirect Ownership Interest Nov 1, 2024 44.7%
Dillion C Carver Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Steven a Schwartz Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Tky 2 SNF Operations Holdings LLC Organization, Woodmere, NY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2024 100%
Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Shimon Idels Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Tatiriq Irrevocable Trust Organization, Flushing, NY For-profit Indirect Ownership Interest Nov 1, 2024 2.4%
Lion 26 Holdings LLC Organization, Far Rockaway, NY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 47%
Operational/Managerial Control Nov 1, 2024
Indirect Ownership Interest Nov 1, 2024 47%
John a Williams Individual Adp of the SNF Sep 22, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

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": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1245050731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434102",
            "telephone_number": "931-552-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING MEADOWS SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Meadows Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.