NPIMap

Organization Active NPI

Nashville Wellness LLC

  • Skilled Nursing Facility
  • Nashville, AR
National Provider Identifier
1467099523
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NASHVILLE WELLNESS LLC
Practice address
1407 N Main St
Nashville, AR 71852-3733
Phone
(718) 838-1500
NPI assigned
Dec 6, 2019
Last updated
Dec 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Jacob Taub
Title
Member
Phone
(718) 838-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1407 N Main St
Nashville, AR 71852-3733

Mailing address

362 E Kennedy Blvd
Lakewood, NJ 08701-1434
Phone (718) 838-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200117001908 AR Part A Provider - Skilled Nursing Facility 8527493618 Practice locations: Nashville, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467099523. Details of each certification follow.

Skilled nursing facility certification: CCN 045180

Legal name
NASHVILLE WELLNESS LLC
Doing business as
THE SPRINGS OF MINE CREEK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1991
Last certification
Aug 8, 2024
Beds
78
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 21, 2019 in AR
Enrollment address
1407 North Main Street
Nashville, AR 71852-3733
Nursing home name
THE SPRINGS OF MINE CREEK
Affiliated entity
THE SPRINGS ARKANSAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Springs of Mine CreekCCN 045180 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7868.7 residents per day on average
Chain
The Springs Arkansas26 facilities in the chain

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
04D0465741Nashville Wellness LLC1407 North Main Street, Nashville, AR 71852Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Melissa J Wright Individual Operational/Managerial Control Feb 27, 2025
Adp of the SNF Feb 27, 2025
Isaac Gutman Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 28.33%
Clay Walt Ferguson Individual Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
White River Healthcare LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jun 26, 2025
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 28.33%
Alexander Hoffman Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 28.33%
Nashville Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Jan 1, 2021
Chaim Y Herzberg Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 15%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 6

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

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1467099523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011434",
            "telephone_number": "718-838-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N MAIN ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523733",
            "telephone_number": "718-838-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-838-1500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

Verify at the official NPI Registry.