Presbyterian Homes of Tennessee, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000150 Issued in TN

Legal business name

PRESBYTERIAN HOMES OF TENNESSEE, INC.

Doing business as

Shannondale Health Care Center

Practice address

801 Vanosdale Rd
Knoxville, TN 37909-2497

Phone

(865) 690-3411

Fax

(865) 691-3099

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Todd K Taylor

Title

VP - Administrator

Phone

(865) 690-3411

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Shannondale Health Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Skilled nursing facility certification: CCN 445105

Legal name

PRESBYTERIAN HOMES OF TENNESSEE INC

Doing business as

SHANNONDALE HEALTH CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 26, 1973

Last certification

May 31, 2024

Beds

176

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Rocky Top Healthcare LLC

Organization structure

CorporationProprietary

Incorporated

Apr 11, 1963 in TN

Enrollment address

801 Vanosdale Road
Knoxville, TN 37909-2497

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Covenant Living at Shannondale

  dba Shannondale of Maryville

  • Skilled Nursing Facility
  • Maryville, TN
  • NPI 1396742334

  4789594177

  Same PAC ID

Listed as

Legacy Park Health and RehabilitationCCN 445105 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 26, 1973

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

176125.8 residents per day on average

Penalties (3 years)

2Fines totaling $74,633

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 12

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 2

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

• Rebecca E Criswell, NP

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1316314768

  Corporate Director

  CMS ownership
• Stuart Craig Jarvis, MD

  • Gastroenterology Physician
  • Manchester, NH
  • NPI 1467415067

  Corporate Director

  CMS ownership

Practitioners 5

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

• Brian Keith Collier, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1376619726
  NPD (past)
• Daniel Rudolph Duzan, M.D.

  • Internal Medicine Physician
  • Oak Ridge, TN
  • NPI 1518900091
  NPD (past)
• David Hancock, M.D.

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1194753459
  NPD (past)
• Andrew Shawn Herda, MD

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1215225891
  NPD (past)
• Nancy Luongo Witherspoon, DO

  • Family Medicine Physician
  • Dandridge, TN
  • NPI 1760481451
  NPD (past)

Affiliated clinicians 2

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

• Daniel Rudolph Duzan, M.D.

  • Internal Medicine Physician
  • Oak Ridge, TN
  • NPI 1518900091

  Nursing home

  Care Compare affiliation
• Andrew Shawn Herda, MD

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1215225891

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1316944887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VANOSDALE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092497",
            "telephone_number": "865-690-3411",
            "fax_number": "865-691-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VANOSDALE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092497",
            "telephone_number": "865-690-3411",
            "fax_number": "865-691-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOMES OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP - ADMINISTRATOR",
        "authorized_official_telephone_number": "865-690-3411"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000150",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "1295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4407967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445105",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440166",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannondale Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of Tennessee Medical PC (Safety Building)
• Premise Health of Tennessee Medical PC (The Center)
• Eric R Prenshaw, M.D.
• Remy Kathleen Prentice, SLP
• Presbyterian Homes of Tennessee, Inc. (WellPark at Shannondale)
• Kerry Allison Prescott, APRN
• Philomina Presentation, M.D.
• Emily Ann Presley
• Chelsea Kyle Pressley, DNP, FNP
• Susan Danielle Pressley

• Skilled Nursing Facility in Knoxville, TN
• Providers in Knoxville, 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 13, 2015; 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.