Active NPI
Graceland Nursing Operator LLC
- Skilled Nursing Facility
- Memphis, TN
National Provider Identifier
1578099784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 326
- Legal business name
- GRACELAND NURSING OPERATOR LLC
- Practice address
- 1250 Farrow Rd
Memphis, TN 38116-7116 - Phone
- (901) 332-7290
- NPI assigned
- May 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raphael Lichtschein
- Title
- Operator
- Phone
- (901) 332-7290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 326 | TN | Primary |
Addresses
Primary practice location
1250 Farrow Rd
Memphis, TN 38116-7116
Mailing address
1250 Farrow Rd
Memphis, TN 38116-7116
Phone (901) 332-7290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180604002768 | TN | Part A Provider - Skilled Nursing Facility | 5991060477 | Practice locations: Memphis, TN |
Skilled nursing facility certification: CCN 445331
- Legal name
- GRACELAND NURSING OPERATOR LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1994
- Last certification
- May 13, 2025
- Beds
- 240
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Jul 1, 2017
- Organization structure
- LLC
- Incorporated
- Feb 21, 2017 in DE
- Enrollment address
- 1250 Farrow Rd
Memphis, TN 38116-7116 - Nursing home name
- GRACELAND REHABILITATION AND NURSING CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Graceland Rehabilitation and Nursing Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1994
- Medicare certification status
- Active
- Certified beds
- 240
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Raphael Lichtschein | Operational/Managerial Control | Jul 1, 2017 | 100% |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1548524861
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1063679827
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1275601346
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Memphis, TN
- NPI 1669470316
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520380800000",
"number": "1578099784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 FARROW RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381167116",
"telephone_number": "901-332-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 FARROW RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381167116",
"telephone_number": "901-332-7290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACELAND NURSING OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-08",
"last_updated": "2018-03-07",
"status": "A",
"authorized_official_last_name": "LICHTSCHEIN",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "OPERATOR",
"authorized_official_telephone_number": "901-332-7290"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.