Active NPI
Waverly Health Care and Rehabilitation Center, LLC
- Nursing Facility/Intermediate Care Facility
- Waverly, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 0134
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 744-0565 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 9, 1990
- Medicare certification status
- Active
- Certified beds
- 100
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Orchard Holdings LLC | 5% Or Greater Indirect Ownership Interest | Apr 6, 2021 | 47.07% |
| Laura Smith | W-2 Managing Employee | Nov 1, 2021 | |
| FLP Limited Partnership | 5% Or Greater Indirect Ownership Interest | Apr 6, 2021 | 100% |
| Mitchell Family Irrevocable Trust U/a Dated December 28, 2012 | 5% Or Greater Indirect Ownership Interest | Apr 6, 2021 | 23.54% |
| Robin Bradley | Corporate Officer | Apr 5, 2018 | |
| Corporate Director | Apr 5, 2018 | ||
| Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016 | 5% Or Greater Indirect Ownership Interest | Apr 6, 2021 | 11.77% |
| Ahp Orchards LLC | 5% Or Greater Indirect Ownership Interest | Apr 6, 2021 | 93.32% |
| American Health Companies LLC | 5% Or Greater Direct Ownership Interest | Oct 26, 1993 | 100% |
| Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017 | 5% Or Greater Indirect Ownership Interest | Apr 6, 2021 | 11.77% |
| Mfo Ahp LLC | 5% Or Greater Indirect Ownership Interest | Apr 6, 2021 | 99.02% |
| Orchard Holdings II LLC | 5% Or Greater Indirect Ownership Interest | Apr 6, 2021 | 23.54% |
| Tennessee Health Management LLC | Operational/Managerial Control | Apr 1, 2012 | |
| Mark T Mitchell | 5% Or Greater Indirect Ownership Interest | Apr 6, 2021 | 47.07% |
| Michael D Bailey | Corporate Officer | Apr 1, 2016 | |
| Corporate Director | Apr 1, 2016 | ||
| Jeffrey Bogle | Corporate Officer | Apr 1, 2016 | |
| Corporate Director | Aug 25, 2018 | ||
| Orchard Holdings III, LLC | 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.
-
- Psychiatric Hospital
- Clarksville, TN
- NPI 1346570777
Ahp Orchards LLC, American Health Companies LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust
-
- Psychiatric Hospital
- Columbia, TN
- NPI 1891000923
Ahp Orchards LLC, American Health Companies LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust
-
- Psychiatric Hospital
- Martin, TN
- NPI 1144324831
Ahp Orchards LLC, American Health Companies LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust
-
- Psychiatric Hospital
- Memphis, TN
- NPI 1235516097
Ahp Orchards LLC, American Health Companies LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust
-
- Skilled Nursing Facility
- Clarksville, TN
- NPI 1790740462
Ahp Orchards LLC, American Health Companies LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust
-
- Skilled Nursing Facility
- Brownsville, TN
- NPI 1972568749
Ahp Orchards LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, OR
-
- Skilled Nursing Facility
- Hohenwald, TN
- NPI 1538124045
Ahp Orchards LLC, American Health Companies LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust
-
- Skilled Nursing Facility
- Lexington, TN
- NPI 1730144155
Ahp Orchards LLC, American Health Companies LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust
-
- Skilled Nursing Facility
- MC Kenzie, TN
- NPI 1457316887
Ahp Orchards LLC, American Health Companies LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust
-
- Skilled Nursing Facility
- Mount Juliet, TN
- NPI 1508821752
Ahp Orchards LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, OR
-
- Skilled Nursing Facility
- Knoxville, TN
- NPI 1528811130
Ahp Orchards LLC, American Health Companies LLC, FLP Limited Partnership, Mfo Ahp LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable Trust U/a Dated July 14, 2017, Mitchell Family Irrevocable Trust
-
- Psychiatric Hospital
- Jackson, TN
- NPI 1922409788
Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Dickson, TN
- NPI 1063407534
-
- Family Medicine Physician
- New Johnsonville, TN
- NPI 1316098858
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- New Johnsonville, TN
- NPI 1316098858
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.