Maryville Jamestown Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MARYVILLE JAMESTOWN OPCO LLC

Doing business as

Foothills Transitional Care and Rehabilitation

Practice address

1012 Jamestown Way
Maryville, TN 37803-5865

Phone

(865) 984-7400

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Mick Vujanovic

Title

Ceo

Phone

(502) 667-8150

Specialties & licenses 2

Addresses

Other names 1

• Foothills Transitional Care and Rehabilitation Doing business as

Locations

Practitioners 1

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

• Teresa M Salazar-Catron, MD

  • Hospitalist Physician
  • Maryville, TN
  • NPI 1588741680
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1316506587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CHEROKEE RIDGE WAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051600",
            "telephone_number": "502-667-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 JAMESTOWN WAY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035865",
            "telephone_number": "865-984-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE JAMESTOWN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "VUJANOVIC",
        "authorized_official_first_name": "MICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-667-8150"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Transitional Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryville ASC (Tennessee Endoscopy Center)
• Maryville Dental Care
• Maryville Dental, PLLC. (Maryville Dental)
• Maryville Fairpark Opco LLC (Fairpark Health and Rehabilitation)
• Maryville Foot Clinic Inc
• Maryville Massage
• Maryville Surgical Center
• Gary Merlin Mason, M.D.
• Madison Mathenia, SLP
• Sheena Mathes

• Skilled Nursing Facility in Maryville, TN
• Providers in Maryville, 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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.