Active NPI
Nashville SNF Healthcare LLC
Doing business as Eaton Creek Post Acute
- Skilled Nursing Facility
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NASHVILLE SNF HEALTHCARE LLC
- Doing business as
- Eaton Creek Post Acute
- Practice address
- 4343 Ashland City Hwy
Nashville, TN 37218-2401 - Phone
- (615) 726-0492
- NPI assigned
- Sep 18, 2024
- Last updated
- Sep 18, 2024
- 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
- John Mitchell
- Title
- Secretary
- Phone
- (385) 988-3319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
4343 Ashland City Hwy
Nashville, TN 37218-2401
Mailing address
262 N University Ave
Farmington, UT 84025-2975
Other names 1
- EATON CREEK POST ACUTE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250421001236 | TN | Part A Provider - Skilled Nursing Facility | 5395260558 | Practice locations: Nashville, TN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275360687. Details of each certification follow.
Skilled nursing facility certification: CCN 445262
- Legal name
- NASHVILLE SNF HEALTHCARE LLC
- Doing business as
- EATON CREEK POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 8, 1991
- Last certification
- Aug 30, 2023
- Beds
- 124
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- PACS
- Organization structure
- LLC
- Enrollment address
- 4343 Ashland City Hwy
Nashville, TN 37218-2401 - Nursing home name
- EATON CREEK POST ACUTE
- Affiliated entity
- PACS GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Eaton Creek Post Acute
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 8, 1991
- Medicare certification status
- Active
- Certified beds
- 124
- Chain
- Pacs Group
- Special focus status
- SFF
- Penalties (3 years)
- 6
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 |
|---|---|---|---|
| 44D0309116 | Nashville SNF Healthcare, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Branch Banking & Trust Company | 5% Or Greater Security Interest | Feb 1, 2025 | 100% |
| Jason H Murray | 5% Or Greater Indirect Ownership Interest | Feb 1, 2025 | 35.2% |
| John T Mitchell | Corporate Officer | Feb 1, 2025 | |
| 4343 Ashland City Highway TN LLC | Adp of the SNF | Mar 12, 2025 | |
| Edward Hearns | Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Mar 12, 2025 | ||
| Gina Miller | Managing Control - Governing Body | Feb 1, 2025 | |
| Michael Smith | Managing Control - Governing Body | Feb 1, 2025 | |
| Frederick G Apt | Corporate Officer | Feb 1, 2025 | |
| Toni Perkins | Managing Control - Governing Body | Feb 1, 2025 | |
| Providence Group NH, LLC | 5% Or Greater Direct Ownership Interest | Feb 1, 2025 | 100% |
| Millard D Collins | Managing Control - Governing Body | Feb 1, 2025 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Pacs Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Feb 1, 2025 | 100% |
| Providence Administrative Consulting Services Inc | Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Apr 16, 2025 | ||
| Truist Bank | 5% Or Greater Security Interest | Feb 1, 2025 | 100% |
| Joshua O Jergensen | Corporate Officer | Feb 1, 2025 | |
| Tanisha Wakefield | Managing Control - Governing Body | Feb 1, 2025 | |
| Pacs Group, Inc. | 5% Or Greater Indirect Ownership Interest | Feb 1, 2025 | 100% |
| Mark D Hancock | 5% Or Greater Indirect Ownership Interest | Feb 1, 2025 | 35.2% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Nashville, TN
- NPI 1952389173
Adp of the SNF, Managing Control - Governing Body
Facilities with the same owner 186
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Grandview Post Acute
- Skilled Nursing Facility
- Cookeville, TN
- NPI 1497582894
Providence Group NH, LLC
-
dba Alta Heights Post Acute
- Skilled Nursing Facility
- Goodlettsville, TN
- NPI 1265269666
Providence Group NH, LLC
-
dba Selmer Post Acute
- Skilled Nursing Facility
- Selmer, TN
- NPI 1629805049
Providence Group NH, LLC
-
dba Ocean Ridge Post Acute
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1689308132
Providence Group NH, LLC
-
dba Amberwood Post Acute
- Skilled Nursing Facility
- Denver, CO
- NPI 1174236046
Providence Group NH, LLC
-
dba Antelope Valley Care Center
- Skilled Nursing Facility
- Lancaster, CA
- NPI 1083302350
Providence Group NH, LLC
-
dba Delta View Post Acute
- Skilled Nursing Facility
- Antioch, CA
- NPI 1114542198
Providence Group NH, LLC
-
dba Apache Junction Health Center
- Skilled Nursing Facility
- Apache Junction, AZ
- NPI 1578248670
Providence Group NH, LLC
-
dba Arden Park Post Acute
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1932833480
Providence Group NH, LLC
-
dba Artesia Palms Care Center
- Skilled Nursing Facility
- Artesia, CA
- NPI 1083320774
Providence Group NH, LLC
-
dba Redlands Healthcare Center
- Skilled Nursing Facility
- Redlands, CA
- NPI 1811926603
Providence Group NH, LLC
-
dba Ashland Post Acute
- Skilled Nursing Facility
- Ashland, OR
- NPI 1174372916
Providence Group NH, LLC
Practitioners & affiliated clinicians
Practitioners 1
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
- Nashville, TN
- NPI 1952389173
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Nashville, TN
- NPI 1952389173
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1275360687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 N UNIVERSITY AVE",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 ASHLAND CITY HWY",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372182401",
"telephone_number": "615-726-0492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASHVILLE SNF HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "385-988-3319"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EATON CREEK POST ACUTE",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.