Friendship Manor Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FRIENDSHIP MANOR GROUP LLC

Practice address

485 S Friendship Dr
Nashville, IL 62263-1363

Phone

(618) 327-3041

Fax

(618) 327-4001

NPI assigned

Nov 3, 2008

Last updated

Apr 23, 2014By 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

Mrs. Kimberly Davis Smith

Title

Cfo/Owner

Phone

(731) 588-4302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508019548. Details of each certification follow.

• CCN 146043 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 146043

Legal name

FRIENDSHIP MANOR GROUP LLC

Doing business as

FRIENDSHIP MANOR HEALTH CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 4, 2003

Last certification

Dec 20, 2024

Beds

120

Ownership / control type

Partnership

Organization structure

LLCProprietary

Enrollment address

485 S Friendship Dr
Nashville, IL 62263-1363

Nursing home name

AXIOM GARDENS OF NASHVILLE

Affiliated entity

AXIOM HEALTHCARE

Listed as

Axiom Gardens of NashvilleCCN 146043 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Feb 4, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12055.8 residents per day on average

Chain

Axiom Healthcare8 facilities in the chain

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

5Fines totaling $541,045

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 19

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.

• Robert J Davidson, M.D.

  • Family Medicine Physician
  • Pinckneyville, IL
  • NPI 1790774826

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 4

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

• Brighton Cornerstone Group, LLC

  dba Brighton Cornerstone Healthcare

  • Skilled Nursing Facility
  • Madisonville, KY
  • NPI 1588049019

  Legacy Health Services Inc

  CMS ownership
• Cedargate Healthcare Group, LLC

  dba Cedargate Healthcare

  • Skilled Nursing Facility
  • Poplar Bluff, MO
  • NPI 1740684851

  Legacy Health Services Inc

  CMS ownership
• Pioneer Trace Group, LLC

  • Skilled Nursing Facility
  • Flemingsburg, KY
  • NPI 1285186924

  Legacy Health Services Inc

  CMS ownership
• Willowbrook Healthcare Group, LLC

  dba Willowbrook Healthcare

  • Skilled Nursing Facility
  • Carlisle, KY
  • NPI 1033943428

  Legacy Health Services Inc

  CMS ownership

Affiliated clinicians 1

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

• Robert J Davidson, M.D.

  • Family Medicine Physician
  • Pinckneyville, IL
  • NPI 1790774826

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1508019548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 S FRIENDSHIP DR",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631363",
            "telephone_number": "618-327-3041",
            "fax_number": "618-327-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S FRIENDSHIP DR",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631363",
            "telephone_number": "618-327-3041",
            "fax_number": "618-327-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP MANOR GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "731-588-4302",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine A. Emling, FNP
• Sydney J Engele, PSYD
• Ginger Fewell, M.D.
• Rachel Margaret Foster, O.D.
• Friendship Manor Group LLC
• Friendship Manor Group, LLC (Friendship Manor Health Care)
• Friendship Manor Investors LLC (Friendship Manor Health Center)
• Michael Eugene Gewe, O.D.
• Sandra Deann Gill, PTA
• Jason John Gladson, D.M.D.

• Skilled Nursing Facility in Nashville, IL
• Providers in Nashville, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.