Active NPI
Luke Inc.
- Skilled Nursing Facility
- Collierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LUKE INC.
- Practice address
- 10001 Crooked Creek Rd
Collierville, TN 38017-9200 - Phone
- (901) 779-8200
- Fax
- (901) 861-3671
- NPI assigned
- Oct 4, 2022
- 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
- Lesley Wilkerson
- Title
- Healthcare Administrator
- Phone
- (901) 651-3675
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
10001 Crooked Creek Rd
Collierville, TN 38017-9200
Mailing address
10001 Crooked Creek Rd
Collierville, TN 38017-9200
Phone (901) 779-8200
Other names 1
- Jordan River
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230306000880 | TN | Part A Provider - Skilled Nursing Facility | 9830562297 | Practice locations: Collierville, TN |
Skilled nursing facility certification: CCN 445541
- Legal name
- LUKE INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Aug 24, 2022
- Last certification
- Mar 27, 2025
- Beds
- 60
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Feb 9, 2005 in TN
- Enrollment address
- 10001 Crooked Creek Rd
Ste 501
Collierville, TN 38017-9200 - Nursing home name
- THE SUITES AT JORDAN RIVER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Suites at Jordan River
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Aug 24, 2022
- Medicare certification status
- Active
- Certified beds
- 60
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2255236 | Luke Inc | Certificate of waiver | Mar 10, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| James Jeffrey Walrond | Contracted Managing Employee | Jul 19, 2021 | |
| Rudolf Herzke | Corporate Officer | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Parkin, AR
- NPI 1023424892
-
- Occupational Therapist
- Collierville, TN
- NPI 1790410702
-
- Nurse's Aide
- Collierville, TN
- NPI 1932983194
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Memphis, TN
- NPI 1043262538
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1609591510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 CROOKED CREEK RD",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380179200",
"telephone_number": "901-779-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 CROOKED CREEK RD",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380179200",
"telephone_number": "901-779-8200",
"fax_number": "901-861-3671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUKE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "WILKERSON",
"authorized_official_first_name": "LESLEY",
"authorized_official_title_or_position": "HEALTHCARE ADMINISTRATOR",
"authorized_official_telephone_number": "901-651-3675"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jordan River",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.