Legacy Health and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEGACY HEALTH AND REHAB LLC

Practice address

811 Keylon St
Manchester, TN 37355-2413

Phone

(931) 952-3499

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Holly Beth Hopkins, LNHA

Title

Administrator

Phone

(931) 450-5150

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Skilled nursing facility certification: CCN 445383

Legal name

LEGACY HEALTH AND REHAB LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1996

Last certification

Apr 10, 2024

Beds

72

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 18, 2020 in TN

Enrollment address

811 Keylon St
Manchester, TN 37355-2413

Nursing home name

LEGACY HEALTH AND REHAB

Listed as

Legacy Health and RehabCCN 445383 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7250.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 3

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

Practitioners 1

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

• Donald E Vollmer II, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Hendersonville, TN
  • NPI 1184612921
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1265078521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 KEYLON ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 KEYLON ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552413",
            "telephone_number": "931-952-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2022-01-18",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-450-5150",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollyhopkins@legacy-tn.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "811 Keylon St",
            "city": "Manchester",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373552413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Theresa Jane Lawson
• Thomas Ray Lawson, LPC
• Ashley Harmon Layne, M.S.,CCC-SLP
• Kylee Layne, PA
• Matthew Leemkuil
• Legends Opco LLC
• Mike Lewis
• Carlton Brandon Long, BS, DC
• Josh Drew Lowry, PT
• Magnolia Family Medicine and Wellness

• Skilled Nursing Facility in Manchester, TN
• Providers in Manchester, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.

Verify at the official NPI Registry.