NPIMap

Organization Active NPI

Ocoee WPH Health and Rehabilitation Center LLC

Doing business as Wood Village

  • Skilled Nursing Facility
  • Sweetwater, TN
National Provider Identifier
1760476865
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000188 Issued in TN
Legal business name
OCOEE WPH HEALTH AND REHABILITATION CENTER LLC
Doing business as
Wood Village
Practice address
520 Old Highway 68
Sweetwater, TN 37874-6258
Phone
(423) 351-1050
Fax
(865) 213-4795
NPI assigned
Sep 2, 2005
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Michelle Holcombe
Title
Cfo
Phone
(423) 834-3188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000188 TN Primary

Addresses

Primary practice location

520 Old Highway 68
Sweetwater, TN 37874-6258

Mailing address

651 E 4TH St Ste 604
Chattanooga, TN 37403-1914
Phone (423) 834-3188

Other identifiers 1

IdentifierTypeStateIssuer
7440206MedicaidTN

Other names 1

  • Wood Village Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110113000596 TN Part A Provider - Skilled Nursing Facility 8820287444 Practice locations: Sweetwater, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760476865. Details of each certification follow.

Skilled nursing facility certification: CCN 445322

Legal name
OCOEE WPH HEALTH AND REHABILITATION CENTER LLC
Doing business as
WOOD VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 17, 1993
Last certification
Jun 15, 2022
Beds
89
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Ocoee Foundation
Organization structure
LLCNon-profit
Incorporated
Dec 15, 2022 in TN
Enrollment address
520 Old Highway 68
Sweetwater, TN 37874-6258
Nursing home name
WOOD VILLAGE
Affiliated entity
TWIN RIVERS HEALTH & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wood VillageCCN 445322 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 17, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8972.5 residents per day on average
Chain
Twin Rivers Health & Rehabilitation11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ocoee WPH Health and Rehabilitation Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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 Dec 15, 2022 100%
Operational/Managerial Control Dec 15, 2022
Managing Control - Governing BodyPresident Dec 15, 2022
Adp of the SNF Dec 15, 2022
John Sheehan Individual Operational/Managerial Control Dec 15, 2022
Managing Control - Governing BodyVice President Dec 15, 2022
Trustee of the SNF Dec 15, 2022
Adp of the SNF Dec 15, 2022
Twin Rivers Health & Rehabilitation LLC Organization, Cleveland, TN LLC, For-profit, Chain home office Operational/Managerial Control Dec 15, 2022
Adp of the SNF Mar 28, 2025
Kathleen S Kupchynsky Individual Operational/Managerial Control Dec 15, 2022
Managing Control - Governing BodyDirector Dec 15, 2022
Trustee of the SNF Dec 15, 2022
Pioneer Consulting LLC Organization, Chattanooga, TN LLC, Consulting firm, For-profit Operational/Managerial Control Dec 15, 2022
Adp of the SNF Mar 28, 2025
Michelle Holcombe Individual Operational/Managerial Control Dec 15, 2022
Adp of the SNF Dec 15, 2022
Shelia Stephens Individual Operational/Managerial Control Dec 15, 2022
Adp of the SNF Dec 15, 2022
Clinton Davis Individual Operational/Managerial Control Dec 15, 2022
Adp of the SNF Dec 15, 2022
Frank Alan Smith Individual Operational/Managerial Control Dec 15, 2022
Managing Control - Governing BodyDirector Dec 15, 2022
Trustee of the SNF Dec 15, 2022
Margaret Sheehan Individual Corporate OfficerTreasurer Dec 15, 2022 100%
Operational/Managerial Control Dec 15, 2022
Managing Control - Governing BodyTreasurer Dec 15, 2022
Don Bradley Individual Operational/Managerial Control Dec 15, 2022
Managing Control - Governing BodyDirector Dec 15, 2022
Trustee of the SNF Dec 15, 2022
Dorothy C Phillips Individual Operational/Managerial Control Dec 15, 2022
Managing Control - Governing BodyDirector Dec 15, 2022
Trustee of the SNF Dec 15, 2022
Tracey D Beverley Individual Operational/Managerial Control Dec 15, 2022
Adp of the SNF Dec 15, 2022
William Burton Individual Operational/Managerial Control Dec 15, 2022
Managing Control - Governing BodyDirector Dec 15, 2022
Trustee of the SNF Dec 15, 2022
Ocoee Foundation Inc Organization, Cleveland, TN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 15, 2022 100%
Operational/Managerial Control Dec 15, 2022
Adp of the SNF Dec 15, 2022

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.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1760476865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E 4TH ST STE 604",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031914",
            "telephone_number": "423-834-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 OLD HIGHWAY 68",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378746258",
            "telephone_number": "423-351-1050",
            "fax_number": "865-213-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOEE WPH HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "HOLCOMBE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-834-3188"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440206",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sweetwater, TN

Sources for this page

Verify at the official NPI Registry.