NPIMap

Organization Active NPI

Saint Thomas Stones River Hospital, LLC

Doing business as Ascension Saint Thomas Stones River

  • General Acute Care Hospital
  • Woodbury, TN
National Provider Identifier
1447639398
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SAINT THOMAS STONES RIVER HOSPITAL, LLC
Doing business as
Ascension Saint Thomas Stones River
Practice address
324 Doolittle Rd
Woodbury, TN 37190-1139
Phone
(615) 563-4001
NPI assigned
May 26, 2015
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Lisa R. Davis
Title
Authorized Official
Phone
(615) 284-6845

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

324 Doolittle Rd
Woodbury, TN 37190-1139

Mailing address

102 Woodmont Blvd
Suite 800
Nashville, TN 37205-2287

Other names 1

  • Ascension Saint Thomas Stones River Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150903003034 TN Part A Provider - Hospital 0749596849 Practice locations: Woodbury, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447639398. Details of each certification follow.

Hospital certification: CCN 440200

Legal name
SAINT THOMAS STONES RIVER HOSPITAL LLC
Doing business as
ASCENSION SAINT THOMAS STONES RIVER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 21, 1980
Last certification
Feb 15, 2006
Beds
55
Ownership / control type
Private (for profit)
Organization structure
LLCNon-profit
Incorporated
May 15, 2015 in TN
Enrollment address
324 Doolittle Road
Woodbury, TN 37190
Other Hospital Practice Location
Hospital subgroups
General, Psychiatric, Rehabilitation, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Stones River HospitalCCN 440200 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Stones River HospitalCCN 44T200
Ownership
For profit
Certified
Jan 1, 2006

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

National Provider Directory

National Provider Directory
Tax ID family
Saint Thomas Stones River Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the 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
Brandon Williams Individual Corporate Officer Oct 31, 2022
Susan Conley Individual W-2 Managing EmployeeCeo Aug 1, 2015
Saint Thomas Regional Hospitals Organization, Nashville, TN Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%
Raymond Randal Johnson Individual W-2 Managing EmployeeChief Administrative Officer Jul 1, 2021
Saint Thomas Health Organization, Nashville, TN Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%
Ascension Health Organization, Saint Louis, MO Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%
Lisa Davis Individual Corporate DirectorBoard Member Aug 1, 2015

Owners & managing parties with NPI records 3

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

Facilities with the same owner 164

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

View all 164

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1447639398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD",
            "address_2": "SUITE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 DOOLITTLE RD",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901139",
            "telephone_number": "615-563-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT THOMAS STONES RIVER HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-284-6845"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Saint Thomas Stones River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, TN

Sources for this page

Verify at the official NPI Registry.