NPIMap

Organization Active NPI

McKendree SNF Operations LLC

  • Skilled Nursing Facility
  • Hermitage, TN
National Provider Identifier
1366293151
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MCKENDREE SNF OPERATIONS LLC
Practice address
4347 Lebanon Pike
Hermitage, TN 37076-1243
Phone
(615) 871-8200
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Joseph Lieberman
Title
Vice President of Procurement
Phone
(646) 275-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4347 Lebanon Pike
Hermitage, TN 37076-1243

Mailing address

4347 Lebanon Pike
Hermitage, TN 37076-1243

Other names 1

  • The McKendree Post Acute & Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240925001289 TN Part A Provider - Skilled Nursing Facility 3577004902 Practice locations: Hermitage, TN

Skilled nursing facility certification: CCN 445491

Legal name
MCKENDREE SNF OPERATIONS LLC
Doing business as
THE MCKENDREE POST ACUTE & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 13, 2009
Last certification
Oct 3, 2023
Beds
180
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Senior Living Support Services
Most recent change of ownership
Jun 17, 2024
Organization structure
LLCProprietary
Enrollment address
4347 Lebanon Pike
Hermitage, TN 37076-1243
Nursing home name
THE MCKENDREE POST ACUTE & REHABILITATION
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The McKendree Post Acute & RehabilitationCCN 445491
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 13, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180173.3 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $252,242

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0027866McKendree SNF Operations LLC4347 Lebanon Road, Hermitage, TN 37076Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 17, 2024 48.75%
Saessy Irrevocable Trust Organization, Far Rockaway, NY 5% Or Greater Indirect Ownership Interest Jun 17, 2024 46.36%
TN 2 SNF Operations Holdings LLC Organization, Woodmere, NY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 17, 2024 100%
Adp of the SNF May 27, 2026
Shimon Idels Individual Corporate OfficerChief Executive Officer Jun 17, 2024
Adp of the SNF Jun 17, 2024
Joseph Garafola Individual Operational/Managerial Control Jun 17, 2024
Adp of the SNF Jun 17, 2024
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Jun 17, 2024 46.36%
Lion 26 Holdings LLC Organization, Far Rockaway, NY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 17, 2024 48.75%

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 4

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": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1366293151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761243",
            "telephone_number": "615-871-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENDREE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The McKendree Post Acute & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.