Organization Active NPI

Luke Inc.

  • Skilled Nursing Facility
  • Collierville, TN
National Provider Identifier
1609591510
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Lesley WilkersonNPI 1023424892
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 RiverCCN 445541
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Aug 24, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.7 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
44D2255236Luke Inc10001 Crooked Creek Road, Collierville, TN 38017Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
James Jeffrey Walrond Individual Contracted Managing EmployeeExecutive Director Jul 19, 2021
Rudolf Herzke Individual Corporate OfficerPresident 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.

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": "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

Verify at the official NPI Registry.