Center on Aging and Health LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

378 Issued in TN

Legal business name

CENTER ON AGING AND HEALTH LLC

Practice address

880 S Mohawk Dr
Erwin, TN 37650-2125

Phone

(423) 743-7669

Fax

(423) 735-1160

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Alex Gaddy

Title

Administrator

Phone

(423) 743-7669

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Skilled nursing facility certification: CCN 445424

Legal name

CENTER ON AGING AND HEALTH LLC

Doing business as

NA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Apr 30, 2001

Last certification

Aug 2, 2023

Beds

120

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

880S Mohawk Dr
Erwin, TN 37650-2125

Nursing home name

CENTER ON AGING AND HEALTH

Listed as

Center on Aging and HealthCCN 445424

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 30, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12067.8 residents per day on average

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 29

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.

• Anton Christopher Daniel, MD

  • Internal Medicine Physician
  • Newport, TN
  • NPI 1700856135

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Broad River Rehabilitation

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 8

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

• Abundant Christian Living Community LLC

  • Skilled Nursing Facility
  • Johnson City, TN
  • NPI 1902491178

  Broad River Rehabilitation

  CMS ownership
• Ahsnf, Inc

  • Skilled Nursing Facility
  • Monroe, NC
  • NPI 1053953844

  Broad River Rehabilitation

  CMS ownership
• Ahsnf, Inc

  • Skilled Nursing Facility
  • Charlotte, NC
  • NPI 1669023685

  Broad River Rehabilitation

  CMS ownership
• Ahsnf, Inc

  • Skilled Nursing Facility
  • Shelby, NC
  • NPI 1710537998

  Broad River Rehabilitation

  CMS ownership
• Ahsnf, Inc

  • Skilled Nursing Facility
  • Albemarle, NC
  • NPI 1891346797

  Broad River Rehabilitation

  CMS ownership
• Ahsnf, Inc

  • Skilled Nursing Facility
  • Huntersville, NC
  • NPI 1932750841

  Broad River Rehabilitation

  CMS ownership
• Central Georgia Senior Health, Inc.

  • Skilled Nursing Facility
  • Macon, GA
  • NPI 1609865112

  Broad River Rehabilitation

  CMS ownership
• County of Monroe

  • Skilled Nursing Facility
  • Sparta, WI
  • NPI 1952306748

  Broad River Rehabilitation

  CMS ownership

Practitioners 3

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

• Alan Cox, MD

  • General Practice Physician
  • Johnson City, TN
  • NPI 1003057068
  NPD (past)
• Anton Christopher Daniel, MD

  • Internal Medicine Physician
  • Newport, TN
  • NPI 1700856135
  NPD (past)
• Deepika A Tumkur, MD

  • Family Medicine Physician
  • Bluff City, TN
  • NPI 1366508681
  NPD (past)

Affiliated clinicians 4

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

• Alan Cox, MD

  • General Practice Physician
  • Johnson City, TN
  • NPI 1003057068

  Nursing home

  Care Compare affiliation
• Anton Christopher Daniel, MD

  • Internal Medicine Physician
  • Newport, TN
  • NPI 1700856135

  Nursing home

  Care Compare affiliation
• Kimberly D Roller, MD

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1457544868

  Nursing home

  Care Compare affiliation
• James M Shipley, MD

  • Family Medicine Physician
  • Elizabethton, TN
  • NPI 1912957937

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1427040211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S MOHAWK DR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502125",
            "telephone_number": "423-743-7669",
            "fax_number": "423-735-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S MOHAWK DR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502125",
            "telephone_number": "423-743-7669",
            "fax_number": "423-735-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER ON AGING AND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "GADDY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-743-7669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445424",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440598",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUCCROSSBLUESHIELD",
            "identifier": "4008444",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Erwin, TN
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.