Waverly SNF Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WAVERLY SNF HEALTHCARE LLC

Doing business as

Waverly Hills Post Acute

Practice address

895 Powers Blvd
Waverly, TN 37185-1018

Phone

(931) 296-7552

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• WAVERLY HILLS POST ACUTE Doing business as

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

CLIA laboratory certificates

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": "1346077765",
    "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": "895 POWERS BLVD",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851018",
            "telephone_number": "931-296-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAVERLY HILLS POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Nicole Waldrop, B.S.
• Susan Warren, PT
• Waverly Clinic PC
• Waverly Health Care and Rehabilitation Center, LLC
• Waverly Pediatric and Adult Care
• Wayland Alva Brooks
• Angelique Marie Wilcox, OTR/L, OTD
• Anneliese Wilsdorf, PA-C
• Ambra Lynn Wilson, PHARM. D.
• Melanie Worden, COTA/L

• Skilled Nursing Facility in Waverly, TN
• Providers in Waverly, 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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.