NPIMap

Organization Active NPI

Elk River Health & Nursing Center of Winchester LLC

  • Skilled Nursing Facility
  • Winchester, TN
National Provider Identifier
1669930657
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER LLC
Practice address
32 Memorial Dr
Winchester, TN 37398-2400
Phone
(931) 962-0200
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
John Sheehan
Title
President
Phone
(423) 618-1488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

32 Memorial Dr
Winchester, TN 37398-2400

Mailing address

3915 Adkisson Dr NW
Cleveland, TN 37312-2821
Phone (423) 834-3188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190612001989 TN Part A Provider - Skilled Nursing Facility 6608109319 Practice locations: Winchester, TN

Skilled nursing facility certification: CCN 445319

Legal name
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1993
Last certification
Apr 3, 2024
Beds
80
Ownership / control type
Other Nonprofit
Organization structure
LLCNon-profit
Incorporated
Feb 22, 2019 in TN
Enrollment address
32 Memorial Dr
Winchester, TN 37398-2400
Nursing home name
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER
Affiliated entity
TWIN RIVERS HEALTH & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elk River Health & Nursing Center of WinchesterCCN 445319
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Oct 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8052.0 residents per day on average
Chain
Twin Rivers Health & Rehabilitation11 facilities in the chain

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
44D0930712Elk River Health & Rehabilitation of Winchester32 Memorial Drive, Winchester, TN 37398Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
John J Sheehan Individual Corporate OfficerPresident Feb 22, 2019 100%
Operational/Managerial Control Apr 1, 2019
Managing Control - Governing BodyPresident Apr 1, 2019
Adp of the SNF Apr 1, 2019
Ephraim B Gammada Individual Adp of the SNF Feb 28, 2024
John Sheehan Individual Corporate OfficerVice President Feb 7, 2024 100%
Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyVice President Feb 7, 2024
Twin Rivers Health & Rehabilitation LLC Organization, Cleveland, TN LLC, For-profit, Chain home office Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 14, 2025
Douglas Malin Individual Operational/Managerial Control Feb 28, 2024
Adp of the SNF Feb 28, 2024
Kathleen S Kupchynsky Individual Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyDirector Feb 7, 2024
Pioneer Consulting LLC Organization, Chattanooga, TN LLC, Consulting firm, For-profit Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 14, 2025
Michelle Holcombe Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Ocoee Winchester Property Investment LLC Organization, Cleveland, TN LLC, Non-profit Adp of the SNF Apr 1, 2019
Clinton Davis Individual Operational/Managerial ControlCeo Apr 1, 2019 100%
Adp of the SNF Apr 1, 2019
Frank Alan Smith Individual Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyDirector Feb 7, 2024
Margaret Sheehan Individual Corporate OfficerTreasurer Dec 15, 2022 100%
Operational/Managerial Control Apr 1, 2019
Managing Control - Governing BodyTreasurer Dec 15, 2022
Don Bradley Individual Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyDirector Feb 7, 2024
Dorothy C Phillips Individual Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyDirector Feb 7, 2024
William Burton Individual Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyDirector Feb 7, 2024
Ocoee Foundation Inc Organization, Cleveland, TN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2019 100%
Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1669930657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 ADKISSON DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122821",
            "telephone_number": "423-834-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MEMORIAL DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982400",
            "telephone_number": "931-962-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-618-1488"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.