NPIMap

Organization Active NPI

Weakley Healthcare, LLC

  • Skilled Nursing Facility
  • Dresden, TN
National Provider Identifier
1376369108
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEAKLEY HEALTHCARE, LLC
Practice address
700 WC Nursing Home Rd
Dresden, TN 38225-1818
Phone
(731) 364-3158
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Jacob Stern
Title
Manager
Phone
(732) 659-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

700 WC Nursing Home Rd
Dresden, TN 38225-1818

Mailing address

338 Whitesville Rd Ste 503
Jackson, NJ 08527-5091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250404001319 TN Part A Provider - Skilled Nursing Facility 6204350812 Practice locations: Dresden, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376369108. Details of each certification follow.

Skilled nursing facility certification: CCN 445437

Legal name
WEAKLEY HEALTHCARE, LLC
Doing business as
WEAKLEY REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 2002
Last certification
Jun 29, 2024
Beds
139
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
700 WC Nursing Home Rd
Dresden, TN 38225-1818
Nursing home name
WEAKLEY REHABILITATION AND NURSING CENTER
Affiliated entity
CCH HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Weakley Rehabilitation and Nursing CenterCCN 445437 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13955.2 residents per day on average
Chain
CCH Healthcare33 facilities in the chain
Penalties (3 years)
3Fines totaling $72,917

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2024 2%
Capital Holdings Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2024 47%
Adp of the SNF Dec 26, 2024
Baruch Jeremias Individual Corporate OfficerVice President and Secretary Dec 1, 2024 50%
Indirect Ownership Interest Dec 1, 2024 2.5%
Susan S Lowry Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyMedical Director Dec 1, 2024
Adp of the SNF Dec 1, 2024
1026 Enterprises II, LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 50%
Adp of the SNF Dec 26, 2024
Starlight Healthcare LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 50%
Adp of the SNF Dec 26, 2024
10-26 Nationwide TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2024 47%
Adp of the SNF Dec 26, 2024
James Larry Sherwood Individual Managing Control - Governing BodyAdministrator Dec 1, 2024
Adp of the SNF Dec 1, 2024
Jacob Stern Individual Corporate OfficerPresident and Treasurer Dec 1, 2024 50%
Corporate DirectorManager Dec 1, 2024 100%
Operational/Managerial Control Dec 26, 2024
Adp of the SNF Dec 26, 2024
Indirect Ownership Interest Dec 1, 2024 2.5%
CCH Healthcare NC, LLC Organization, Lakewood, NJ Management services company Operational/Managerial Control Dec 26, 2024
Adp of the SNF Dec 26, 2024
Organization, Jackson, NJ LLC Adp of the SNF Dec 26, 2024

Owners & managing parties with NPI records 1

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

  • Susan S Lowry, MD
    • Family Medicine Physician
    • Martin, TN
    • NPI 1871592287

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 57

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

View all 57

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1376369108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 WHITESVILLE RD STE 503",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WC NURSING HOME RD",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382251818",
            "telephone_number": "731-364-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAKLEY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-659-1353"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dresden, TN

Sources for this page

Verify at the official NPI Registry.