Fairfield Glade of Tennessee, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FAIRFIELD GLADE OF TENNESSEE, LLC

Practice address

100 Samaritan Way
Crossville, TN 38558-1401

Phone

(931) 710-0908

NPI assigned

Aug 15, 2025

Last updated

Aug 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William B Purvis

Title

President, Liberty Living Managemen

Phone

(910) 815-3122

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700762572. Details of each certification follow.

• CCN 445506 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445506

Legal name

FAIRFIELD GLADE OF TENNESSEE, LLC

Doing business as

THE PRESERVE AT FAIRFIELD GLADE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 28, 2011

Last certification

May 3, 2023

Beds

60

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Liberty Senior Living

Organization structure

LLC

Enrollment address

100 Samaritan Way
Crossville, TN 38558-1401

Nursing home name

THE PRESERVE AT FAIRFIELD GLADE

Affiliated entity

LIBERTY SENIOR LIVING

Listed as

The Preserve at Fairfield GladeCCN 445506 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 28, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6051.9 residents per day on average

Chain

Liberty Senior Living37 facilities in the chain

Ownership change

Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Fayetteville, NC
  • NPI 1023481520

  Member Of

  NPD member

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.

Owners & managing parties with NPI records 1

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

• Michael Thomas Cox, M.D.

  • Internal Medicine Physician
  • Livingston, TN
  • NPI 1356305197

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 19

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

• Liberty Commons Nursing and Rehabilitation Center of Highland

  dba Highland House Rehabilitation and Healthcare

  • Skilled Nursing Facility
  • Fayetteville, NC
  • NPI 1811611577

  John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Commons of Robeson County

  dba Woodhaven Nursing Center

  • Skilled Nursing Facility
  • Lumberton, NC
  • NPI 1053090092

  John a McNeill Jr 2012 Irrv TR, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group LLC

  dba Southwood Nursing and Retirement Center

  • Skilled Nursing Facility
  • Clinton, NC
  • NPI 1043263981

  John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group LLC

  dba Capital Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Raleigh, NC
  • NPI 1255385720

  Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group LLC

  dba Liberty Commons Nursing and Rehabilitation Center of Matthews, LLC

  • Skilled Nursing Facility
  • Matthews, NC
  • NPI 1336193754

  Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group LLC

  dba Liberty Commons Nursing and Rehabilitation Center of Rowan County

  • Skilled Nursing Facility
  • Salisburg, NC
  • NPI 1407800972

  John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group LLC

  dba Mary Gran Nursing Center

  • Skilled Nursing Facility
  • Clinton, NC
  • NPI 1720033475

  John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group LLC

  dba Three Rivers Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Windsor, NC
  • NPI 1881648350

  John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Chapel Hill, NC
  • NPI 1033611959

  Liberty Healthcare Group LLC

  CMS ownership
• Liberty Healthcare Group, LLC

  dba Louisburg Healthcare & Rehabilitation Center

  • Skilled Nursing Facility
  • Louisburg, NC
  • NPI 1043865538

  John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group, LLC

  dba Roxboro Healthcare & Rehabilitation Center

  • Skilled Nursing Facility
  • Roxboro, NC
  • NPI 1104471531

  John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group, LLC

  dba Yadkin Nursing Care Center

  • Skilled Nursing Facility
  • Yadkinville, NC
  • NPI 1174178313

  John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael Thomas Cox, M.D.

  • Internal Medicine Physician
  • Livingston, TN
  • NPI 1356305197

  Nursing home

  Care Compare affiliation
• Joanna Cher Gibbs, MD

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1558372862

  Nursing home

  Care Compare affiliation
• Victor A Shada, D.O.

  • Family Medicine Physician
  • Crossville, TN
  • NPI 1851390728

  Nursing home

  Care Compare affiliation
• Allison Marie Simms, D.O.

  • Family Medicine Physician
  • Crossville, TN
  • NPI 1801137633

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1700762572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 41ST ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAMARITAN WAY",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385581401",
            "telephone_number": "931-710-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD GLADE OF TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT, LIBERTY LIVING MANAGEMEN",
        "authorized_official_telephone_number": "910-815-3122"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Skilled Nursing Facility",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Skilled Nursing Facility",
            "address_1": "100 Samaritan Way",
            "city": "Crossville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385581401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Skilled Nursing Facility in Crossville, TN
• Providers in Crossville, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.

Verify at the official NPI Registry.