Stones River Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

STONES RIVER MANOR, INC.

Practice address

205 Haynes Dr
Murfreesboro, TN 37129-5101

Phone

(615) 893-5617

Fax

(615) 895-0711

NPI assigned

Jul 6, 2017

Organization subpart

Yes

Parent organization

STONES RIVER MANOR, INC.As reported in NPPES

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

Authorized official

Name

Mr. Kirkland A. Mason

Title

Ceo

Phone

(615) 893-5617

Specialties & licenses 1

Addresses

Other names 1

• Stones River Advanced Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Skilled nursing facility certification: CCN 445534

Legal name

STONES RIVER MANOR, INC.

Doing business as

STONES RIVER ADVANCED CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 3, 2018

Last certification

Oct 26, 2022

Beds

30

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 4, 1974 in TN

Enrollment address

205 Haynes Dr
Murfreesboro, TN 37129-5101

Nursing home name

STONES RIVER MANOR, INC

Listed as

Stones River Manor, IncCCN 445534

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 3, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3026.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Stones River Manor Inc

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Donald E Vollmer II, M.D.

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

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Donald E Vollmer II, M.D.

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

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1285155705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HAYNES DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295101",
            "telephone_number": "615-893-5617",
            "fax_number": "615-895-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HAYNES DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295101",
            "telephone_number": "615-893-5617",
            "fax_number": "615-895-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONES RIVER MANOR, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONES RIVER MANOR, INC.",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "KIRKLAND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-893-5617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stones River Advanced Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stonecrest Medical Group - Family Practice of Murfreesboro LLC
• Stonegate Family Dentistry LLC
• Stones River Center
• Stones River Dermatology PLC
• Stones River Eyecare, PC
• Stones River Medical Group PC
• Stones River Medical Management, P.C.
• Stones River Pain & Joint
• Stones River Psychiatric Group PC
• Stones River Regional Independent Practice Association

• Skilled Nursing Facility in Murfreesboro, TN
• Providers in Murfreesboro, 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 Jul 6, 2017; 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.