Organization Active NPI

Community Care of Rutherford County, Inc.

  • Skilled Nursing Facility
  • Murfreesboro, TN
National Provider Identifier
1508866898
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000219 Issued in TN
Legal business name
COMMUNITY CARE OF RUTHERFORD COUNTY, INC.
Practice address
901East County Farm Rd
Murfreesboro, TN 37127-6328
Phone
(615) 893-2624
Fax
(615) 898-7989
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Mark King
Title
Administrator
Phone
(615) 893-2624

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000219 TN Primary
Nursing Facility Supplies (DME) 332BN1400X TN
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X TN

Addresses

Primary practice location

901East County Farm Rd
Murfreesboro, TN 37127-6328

Mailing address

901 East County Farm Rd
Murfreesboro, TN 37127-6328
Phone (615) 893-2624

Other identifiers 4

IdentifierTypeStateIssuer
7440175MedicaidTN
0445406MedicaidTN
4100484OtherTNBLUECROSS ALLIED PROVIDER
3110468OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000383 TN Part A Provider - Skilled Nursing Facility 0042477739 Practice locations: Murfreesboro, TN

Skilled nursing facility certification: CCN 445406

Legal name
COMMUNITY CARE OF RUTHERFORD COUNTY, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1997
Last certification
May 11, 2022
Beds
131
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 7, 1987 in TN
Enrollment address
901 County Farm Rd
Murfreesboro, TN 37127-6328
Nursing home name
COMMUNITY CARE OF RUTHERFORD

Care Compare: Nursing home

Medicare Care Compare
Listed as
Community Care of RutherfordCCN 445406
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13192.8 residents per day on average

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
44D0978867Community Care of Rutherford County901 East County Farm Road, Murfreesboro, TN 37127Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Community Care of Rutherford County, Inc. Organization, Murfreesboro, TN Non-profit Operational/Managerial Control Jul 7, 1987
Carol Cook Individual Corporate DirectorBaord Member Jan 1, 2004
Charles King Individual W-2 Managing EmployeeAdministrator Sep 26, 2000
Kaye Jernigan Individual Corporate DirectorBoard Member Jan 1, 2004
Frankie Johnson Individual Corporate DirectorBoard Member May 1, 2005
Bernard Lyles Individual Corporate DirectorBoard Member Dec 7, 1954
Paul Johnson Individual Corporate DirectorBoard Member May 2, 2007
Mike Nunley Individual Corporate DirectorBoard Member Jul 1, 1991
Ernest Burgess Individual Corporate DirectorChairman of the Board Sep 1, 2006
OtherChairman of the Board Sep 1, 2006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1508866898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 EAST COUNTY FARM RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276328",
            "telephone_number": "615-893-2624",
            "fax_number": "615-898-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901EAST COUNTY FARM RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276328",
            "telephone_number": "615-893-2624",
            "fax_number": "615-898-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE OF RUTHERFORD COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-893-2624"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000219",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440175",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445406",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS ALLIED PROVIDER",
            "identifier": "4100484",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3110468",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.