Organization Active NPI

Waverly Health Care and Rehabilitation Center, LLC

  • Nursing Facility/Intermediate Care Facility
  • Waverly, TN
National Provider Identifier
1730145822
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0134 Issued in TN
Legal business name
WAVERLY HEALTH CARE AND REHABILITATION CENTER, LLC
Practice address
895 Powers Blvd
Waverly, TN 37185
Phone
(931) 296-7552
Fax
(931) 296-1209
NPI assigned
Apr 26, 2006
Organization subpart
Yes
Parent organization
AMERICAN HEALTH COMPANIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Ms. Robin F Bradley
Title
Secretary
Phone
(615) 595-8383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0134 TN Primary
Skilled Nursing Facility 314000000X 0134 TN

Addresses

Primary practice location

895 Powers Blvd
Waverly, TN 37185

Mailing address

P.O, Box 10
Parsons, TN 38363-0010
Phone (731) 847-6343

Other identifiers 1

IdentifierTypeStateIssuer
744-0565MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030807000032 TN Part A Provider - Skilled Nursing Facility 2961313531 Practice locations: Waverly, TN

Skilled nursing facility certification: CCN 445251

Legal name
WAVERLY HEALTH CARE AND REHABILITATION CENTER LLC
Doing business as
AHC WAVERLY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 9, 1990
Last certification
Jun 18, 2025
Beds
100
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jan 1, 2025
Organization structure
LLCProprietary
Incorporated
Mar 25, 2003 in TN
Enrollment address
895 Powers Blvd
Waverly, TN 37185-1018

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waverly Hills Post AcuteCCN 445251
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 9, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10063.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

895 Powers Blvd
Waverly, TN 37185
Phone (931) 296-7552

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
Orchard Holdings LLC Organization, Birmingham, MI LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 47.07%
Laura Smith Individual W-2 Managing EmployeeAdministrator Nov 1, 2021
FLP Limited Partnership Organization, Tampa, FL Created for acquisition, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 100%
Mitchell Family Irrevocable Trust U/a Dated December 28, 2012 Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Apr 6, 2021 23.54%
Robin Bradley Individual Corporate OfficerSecretary Apr 5, 2018
Corporate DirectorDirector Apr 5, 2018
Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016 Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Apr 6, 2021 11.77%
Ahp Orchards LLC Organization, Southfield, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 93.32%
American Health Companies LLC Organization, Franklin, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 26, 1993 100%
Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017 Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Apr 6, 2021 11.77%
Mfo Ahp LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 99.02%
Orchard Holdings II LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 23.54%
Tennessee Health Management LLC Organization, Franklin, TN LLC, Management services company, For-profit Operational/Managerial Control Apr 1, 2012
Mark T Mitchell Individual 5% Or Greater Indirect Ownership Interest Apr 6, 2021 47.07%
Michael D Bailey Individual Corporate OfficerPresident & Ceo Apr 1, 2016
Corporate DirectorDirector Apr 1, 2016
Jeffrey Bogle Individual Corporate OfficerTreasurer/Chief Financial Office Apr 1, 2016
Corporate DirectorDirector Aug 25, 2018
Orchard Holdings III, LLC Organization, Birmingham, MI Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 6, 2021 23.54%

Facilities with the same owner 19

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

View all 19

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1730145822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O, BOX 10",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383630010",
            "telephone_number": "731-847-6343",
            "fax_number": "731-847-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 POWERS BLVD",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "37185",
            "telephone_number": "931-296-7552",
            "fax_number": "931-296-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY HEALTH CARE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH COMPANIES, LLC",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-595-8383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0134",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744-0565",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, TN

Sources for this page

Verify at the official NPI Registry.