Jefferson Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

137 Issued in TN

Legal business name

JEFFERSON OPERATOR LLC

Doing business as

Jefferson City Health & Rehab Center

Practice address

283 W Broadway Blvd
Jefferson City, TN 37760-2302

Phone

(865) 475-9037

Fax

(865) 475-5386

NPI assigned

Nov 13, 2006

Last updated

Apr 13, 2020By 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

Mr. Stacey Paul Rogers

Title

Chief Financial Officer

Phone

(502) 429-8062

Specialties & licenses 1

Addresses

Other names 1

• Jefferson City Health & Rehab Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376614164. Details of each certification follow.

• CCN 445246 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445246

Legal name

JEFFERSON OPERATOR, LLC

Doing business as

JEFFERSON CITY HEALTH & REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 5, 1990

Last certification

Nov 2, 2023

Beds

170

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Feb 1, 2007

Organization structure

LLCProprietary

Incorporated

Nov 2, 2006 in DE

Enrollment address

283 W Broadway Blvd
Jefferson City, TN 37760-2302

Nursing home name

JEFFERSON CITY HEALTH AND REHAB CENTER

Affiliated entity

PRESTIGE ADMINISTRATIVE SERVICES

Listed as

Jefferson City Health and Rehab CenterCCN 445246 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 5, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

170151.1 residents per day on average

Chain

Prestige Administrative Services9 facilities in the chain

Penalties (3 years)

1Fines totaling $8,788

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

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.

Facilities with the same owner 77

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

• Bartlett Operator, LLC

  dba Rainbow Rehab & Healthcare

  • Skilled Nursing Facility
  • Bartlett, TN
  • NPI 1780160408

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC

  CMS ownership
• Blounts Operator LLC

  dba Greystone Health Care Center

  • Skilled Nursing Facility
  • Blountville, TN
  • NPI 1356413843

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC

  CMS ownership
• Bolivar Operator LLC

  dba Pine Meadows Healthcare

  • Skilled Nursing Facility
  • Bolivar, TN
  • NPI 1316018286

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC

  CMS ownership
• Camden Operator LLC

  dba Camden Healthcare & Rehab Center

  • Skilled Nursing Facility
  • Camden, TN
  • NPI 1871664649

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC

  CMS ownership
• Hunting Operator LLC

  dba Huntingdon Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Huntingdon, TN
  • NPI 1568533206

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC

  CMS ownership
• Memphis Operator LLC

  dba River of Life Care Center

  • Skilled Nursing Facility
  • Memphis, TN
  • NPI 1821169517

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC

  CMS ownership
• Ripley Operator LLC

  dba Ripley Healthcare & Rehabilitation Center

  • Skilled Nursing Facility
  • Ripley, TN
  • NPI 1780758755

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC

  CMS ownership
• Alpena Opco LLC

  dba Medilodge of Alpena

  • Skilled Nursing Facility
  • Alpena, MI
  • NPI 1891211264

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Capital Area Opco LLC

  dba Medilodge of Capital Area

  • Skilled Nursing Facility
  • Lansing, MI
  • NPI 1528465739

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Carroll Opco, LLC

  dba Arbors at Carroll

  • Skilled Nursing Facility
  • Carroll, OH
  • NPI 1528466471

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Cass City Opco LLC

  dba Medilodge of Cass City

  • Skilled Nursing Facility
  • Cass City, MI
  • NPI 1316344526

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership
• Cheboygan Opco LLC

  dba Medilodge of Cheboygan

  • Skilled Nursing Facility
  • Cheboygan, MI
  • NPI 1295251676

  B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC

  CMS ownership

Practitioners 3

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.

• Eric Francis Hasemeier, DO

  • Family Medicine Physician
  • Dandridge, TN
  • NPI 1952365017
  NPD (past)
• Nancy Luongo Witherspoon, DO

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

  • Internal Medicine Physician
  • Woodlawn, VA
  • NPI 1306878756
  NPD (past)

Affiliated clinicians 3

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

• Eric Francis Hasemeier, DO

  • Family Medicine Physician
  • Dandridge, TN
  • NPI 1952365017

  Nursing home

  Care Compare affiliation
• Deaver T Shattuck, M.D.

  • Hospitalist Physician
  • Maryville, TN
  • NPI 1013985407

  Nursing home

  Care Compare affiliation
• Nancy Luongo Witherspoon, DO

  • Family Medicine Physician
  • Dandridge, TN
  • NPI 1760481451

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1376614164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "502-429-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 W BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602302",
            "telephone_number": "865-475-9037",
            "fax_number": "865-475-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-429-8062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson City Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson County Hma LLC (Tennova Healthcare-Jefferson Memorial Hospital)
• Jefferson County Hma, LLC (Tennova Healthcare-Jefferson Memorial Hospital)
• Jefferson Dental
• Jefferson Family Physicians P C
• Jefferson Hearts Consultants
• Jefferson Pulmonary Group
• Kelsey Jenkins, FNP-C
• Jeremy L Diamond (Drs. Morrill and Diamond)
• JJ Beans at Mossy Creek LLC (Mossy Creek Pharmacy)
• Audrey Johnson, DPT

• Skilled Nursing Facility in Jefferson City, TN
• Providers in Jefferson City, 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 Apr 13, 2020; 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.