Christian Care Center of Unicoi County LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHRISTIAN CARE CENTER OF UNICOI COUNTY LLC

Practice address

100 Greenway Cir
Erwin, TN 37650-2177

Phone

(423) 743-3141

Fax

(423) 426-5097

NPI assigned

Sep 17, 2018

Last updated

Sep 17, 2018By 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. Jimmy R LewisNPI 1730831363

Title

Chief Manager

Phone

(423) 975-5455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477037497. Details of each certification follow.

• CCN 445077 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445077

Legal name

CHRISTIAN CARE CENTER OF UNICOI COUNTY LLC

Doing business as

CHRISTIAN CARE CENTER OF UNICOI COUNTY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 15, 1969

Last certification

Aug 30, 2023

Beds

50

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

100 Greenway Cir
Erwin, TN 37650-2177

Nursing home name

CHRISTIAN CARE CENTER OF UNICOI COUNTY

Listed as

Christian Care Center of Unicoi CountyCCN 445077 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 15, 1969

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5046.1 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 17

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 1

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

• Deepika A Tumkur, MD

  • Family Medicine Physician
  • Bluff City, TN
  • NPI 1366508681

  Adp of the SNF

  CMS ownership

Facilities with the same owner 5

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

  Care Centers Management Consulting, Inc.

  CMS ownership
• Christian Care Center of Bolivar LLC

  • Skilled Nursing Facility
  • Bolivar, TN
  • NPI 1972181998

  Care Centers Management Consulting, Inc.

  CMS ownership
• Christian Care Center of Milan, LLC

  dba Christian Care Center of Medina

  • Nursing Facility/Intermediate Care Facility
  • Medina, TN
  • NPI 1619629250

  Care Centers Management Consulting, Inc.

  CMS ownership
• Ivy Hall, Inc

  dba Ivy Hall Nursing Home

  • Skilled Nursing Facility
  • Elizabethton, TN
  • NPI 1851362511

  Care Centers Management Consulting, Inc.

  CMS ownership
• KDM Inc

  dba Durham-Hensley Health and Rehabilitation

  • Skilled Nursing Facility
  • Chuckey, TN
  • NPI 1124080221

  Care Centers Management Consulting, Inc.

  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.

• Jimmy R Lewis

  • Skilled Nursing Facility
  • Medina, TN
  • NPI 1730831363
  Authorized official Same address or phone
• James M Shipley, MD

  • Family Medicine Physician
  • Elizabethton, TN
  • NPI 1912957937
  NPD (past)
• Deepika A Tumkur, MD

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

Affiliated clinicians 3

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

• James M Shipley, MD

  • Family Medicine Physician
  • Elizabethton, TN
  • NPI 1912957937

  Nursing home

  Care Compare affiliation
• Deepika A Tumkur, MD

  • Family Medicine Physician
  • Bluff City, TN
  • NPI 1366508681

  Nursing home

  Care Compare affiliation
• Sameera Natarajan, MD

  • Internal Medicine Physician
  • Hazel Crest, IL
  • NPI 1659804417

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1477037497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORTHPARK DR STE 2D",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043127",
            "telephone_number": "423-975-5455",
            "fax_number": "423-426-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREENWAY CIR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502177",
            "telephone_number": "423-743-3141",
            "fax_number": "423-426-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE CENTER OF UNICOI COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-975-5455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Nathan Carter, FNP-BC
• Heidi Heather Casey, RN
• Center on Aging and Health LLC
• Joe Allen Chambers, OD
• Abby Childress
• Clinchfield Drug Co. Inc
• Jason A Colinger, DO
• Laura Robyn Cox, MD
• Morgan Crain, PHARMD
• Cumberland Clinic, PC

• Skilled Nursing Facility in Erwin, TN
• Providers in Erwin, 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 Sep 17, 2018; 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.