Active NPI
Towne Square Care MGT of Puryear Inc.
Doing business as Towne Square Care of Puryear
- Skilled Nursing Facility
- Puryear, TN
National Provider Identifier
1306370275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 032
- Legal business name
- TOWNE SQUARE CARE MGT OF PURYEAR INC.
- Doing business as
- Towne Square Care of Puryear
- Practice address
- 220 College St
Puryear, TN 38251-6441 - Phone
- (731) 247-3205
- NPI assigned
- Apr 17, 2017
- 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
- Daniel Ray Stockdale
- Title
- President
- Phone
- (731) 247-3205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 032 | TN | Primary |
Addresses
Primary practice location
220 College St
Puryear, TN 38251-6441
Mailing address
220 College St
Puryear, TN 38251-6441
Phone (731) 247-3205
Other names 1
- Towne Square Care of Puryear
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181023001771 | TN | Part A Provider - Skilled Nursing Facility | 8628321536 | Practice locations: Puryear, TN |
Skilled nursing facility certification: CCN 445470
- Legal name
- TOWNE SQUARE CARE MGT OF PURYEAR INC
- Doing business as
- TOWNE SQUARE CARE OF PURYEAR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 2003
- Last certification
- Mar 26, 2025
- Beds
- 32
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 29, 2017 in TN
- Enrollment address
- 220 College St
Puryear, TN 38251-6441 - Nursing home name
- TOWNE SQUARE CARE OF PURYEAR
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Towne Square Care of Puryear
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 2003
- Medicare certification status
- Active
- Certified beds
- 32
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Zachary Bell | W-2 Managing Employee | Oct 23, 2018 | |
| Patrick White | 5% Or Greater Direct Ownership Interest | Feb 1, 2017 | 100% |
| Corporate Director | Jun 30, 2021 | 100% | |
| Operational/Managerial Control | Jun 30, 2021 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Paris, TN
- NPI 1053407890
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": "1492387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492387200000",
"number": "1306370275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 COLLEGE ST",
"city": "PURYEAR",
"state": "TN",
"postal_code": "382516441",
"telephone_number": "731-247-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 COLLEGE ST",
"city": "PURYEAR",
"state": "TN",
"postal_code": "382516441",
"telephone_number": "731-247-3205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNE SQUARE CARE MGT OF PURYEAR INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-17",
"last_updated": "2017-04-17",
"status": "A",
"authorized_official_last_name": "STOCKDALE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "731-247-3205"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Towne Square Care of Puryear",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Puryear, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.