CLC of Dyersburg, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000075 Issued in TN

Legal business name

CLC OF DYERSBURG, LLC

Doing business as

Oakwood Community Living Center

Practice address

1636 Woodlawn Ave
Dyersburg, TN 38024-2026

Phone

(731) 285-6400

Fax

(731) 285-9017

NPI assigned

Oct 25, 2005

Last updated

Jan 28, 2008By 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. Douglas M. Wright Jr.

Title

Managing Member

Phone

(662) 680-3148

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oakwood Community Living Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508856295. Details of each certification follow.

• CCN 445335 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445335

Legal name

CLC OF DYERSBURG, LLC

Doing business as

OAKWOOD COMMUNITY LIVING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1994

Last certification

Jun 23, 2021

Beds

50

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Community Eldercare Services, LLC

Organization structure

LLCProprietary

Incorporated

Feb 29, 2000 in TN

Enrollment address

1636 Woodlawn Ave
Dyersburg, TN 38024-2026

Nursing home name

OAKWOOD COMMUNITY LIVING CENTER

Affiliated entity

COMMUNITY ELDERCARE SERVICES

Listed as

Oakwood Community Living CenterCCN 445335 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5039.3 residents per day on average

Chain

Community Eldercare Services17 facilities in the chain

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 4

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

Facilities with the same owner 16

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

• CLC of Dresden, LLC

  dba Hillview Community Living Center

  • Skilled Nursing Facility
  • Dresden, TN
  • NPI 1336139088

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Harriman, LLC

  dba Renaissance Terrace

  • Skilled Nursing Facility
  • Harriman, TN
  • NPI 1235676156

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Lexington, LLC

  dba Briarwood Community Living Center

  • Skilled Nursing Facility
  • Lexington, TN
  • NPI 1043200777

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Ripley, LLC

  dba Lauderdale Community Living Center

  • Skilled Nursing Facility
  • Ripley, TN
  • NPI 1366432031

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Biloxi, LLC

  dba The Pillars of Biloxi

  • Skilled Nursing Facility
  • Biloxi, MS
  • NPI 1295725083

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Booneville, LLC

  dba Longwood Community Living Center

  • Skilled Nursing Facility
  • Booneville, MS
  • NPI 1447240122

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Bruce, LLC

  dba Bruce Community Living Center

  • Skilled Nursing Facility
  • Bruce, MS
  • NPI 1528249570

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Fulton, LLC

  dba Courtyards Community Living Center

  • Skilled Nursing Facility
  • Fulton, MS
  • NPI 1912997651

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Iuka, LLC

  dba Tishomingo Community Living Center

  • Skilled Nursing Facility
  • Iuka, MS
  • NPI 1457341976

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Jackson, LLC

  dba Pleasant Hills Community Living Center

  • Skilled Nursing Facility
  • Jackson, MS
  • NPI 1689664765

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Laurel, LLC

  dba Laurelwood Community Living Center

  • Skilled Nursing Facility
  • Laurel, MS
  • NPI 1326038092

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Liberty, LLC

  dba Liberty Community Living Center

  • Skilled Nursing Facility
  • Liberty, MS
  • NPI 1912997685

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership

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.

• Tanveer Aslam, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1043239965
  NPD (past)
• David P Guthrie, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1750375291
  NPD (past)

Affiliated clinicians 3

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

• Tanveer Aslam, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1043239965

  Nursing home

  Care Compare affiliation
• David P Guthrie, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1750375291

  Nursing home

  Care Compare affiliation
• Ravinder K Machra, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1457352577

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1508856295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242026",
            "telephone_number": "731-285-6400",
            "fax_number": "731-285-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242026",
            "telephone_number": "731-285-6400",
            "fax_number": "731-285-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLC OF DYERSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "662-680-3148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744-0153",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Community Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maciej Chec, RN
• Leann Foster Childress, PT
• Kathryn Mae Chouinard
• Matthew L Clark, D.D.S.
• Jeanette M Clayton, PTA
• Kathryn L Clegg, PT
• Kayla Wright Click
• Stanley E Click, LPC-MHSP
• Lisa Clifft, HIS
• Cogent Healthcare of Tennessee, PC

• Skilled Nursing Facility in Dyersburg, TN
• Providers in Dyersburg, 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 Jan 28, 2008; 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.