Organization Active NPI

Mt Juliet Health Care Center LLC

  • Skilled Nursing Facility
  • Mount Juliet, TN
National Provider Identifier
1508821752
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000322 Issued in TN
Legal business name
MT JULIET HEALTH CARE CENTER LLC
Practice address
2650 N Mount Juliet Rd
Mount Juliet, TN 37122
Phone
(615) 758-4100
Fax
(615) 758-5450
NPI assigned
Apr 19, 2006
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN HEALTH COMPANIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Ms. Robin F Bradley
Title
Secretary
Phone
(615) 595-8383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0322 TN
Skilled Nursing Facility 314000000X 0000000322 TN Primary

Addresses

Primary practice location

2650 N Mount Juliet Rd
Mount Juliet, TN 37122

Mailing address

P.O, Box 10
Parsons, TN 38363-0010
Phone (731) 847-6343

Other identifiers 1

IdentifierTypeStateIssuer
744-0563MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051006000945 TN Part A Provider - Skilled Nursing Facility 7315962537 Practice locations: Mt Juliet, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508821752. Details of each certification follow.

Skilled nursing facility certification: CCN 445439

Legal name
MT JULIET HEALTH CARE CENTER LLC
Doing business as
AHC MT JULIET
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 7, 2002
Last certification
Dec 15, 2021
Beds
106
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 27, 1992 in TN
Enrollment address
2650 N Mount Juliet Rd
Mt Juliet, TN 37122-8015

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cedar Creek Post AcuteCCN 445439 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 7, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10691.9 residents per day on average
Penalties (3 years)
2Fines totaling $211,244

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Orchard Holdings LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 47.07%
FLP Limited Partnership Organization, Tampa, FL Created for acquisition 5% Or Greater Indirect Ownership Interest Apr 6, 2021 100%
Mitchell Family Irrevocable Trust U/a Dated December 28, 2012 Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Apr 6, 2021 23.54%
Robin Bradley Individual Corporate OfficerSecretary Apr 5, 2018
Corporate DirectorDirector Apr 5, 2018
Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016 Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Apr 6, 2021 11.77%
Ahp Orchards LLC Organization, Southfield, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 93.32%
Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017 Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Apr 6, 2021 11.77%
Mfo Ahp LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 99.02%
Ahpsnf Holdco LLC Organization, Franklin, TN Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 100%
Orchard Holdings II LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 23.54%
Uriah Bowman Individual W-2 Managing EmployeeAd; Jun 21, 2024
Tennessee Health Management LLC Organization, Franklin, TN LLC, Management services company, For-profit Operational/Managerial Control Apr 1, 2012
Mark T Mitchell Individual 5% Or Greater Indirect Ownership Interest Apr 6, 2021 47.07%
Michael D Bailey Individual Corporate OfficerPresident & Ceo Sep 1, 2016
Corporate DirectorDirector Apr 1, 2016
Jeffrey Bogle Individual Corporate OfficerTreasurer/Chief Financial Office Apr 1, 2016
Corporate DirectorDirector Aug 25, 2018
Orchard Holdings III, LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 23.54%

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1508821752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O, BOX 10",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383630010",
            "telephone_number": "731-847-6343",
            "fax_number": "731-847-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-758-4100",
            "fax_number": "615-758-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT JULIET HEALTH CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH COMPANIES, LLC",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-595-8383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0322",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744-0563",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.