Columbia TN SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLUMBIA TN SNF LLC

Doing business as

Magnolia Healthcare and Rehabilitation Center

Practice address

1410 Trotwood Ave
Columbia, TN 38401

Phone

(931) 388-6443

Fax

(931) 388-9159

NPI assigned

Apr 18, 2018

Last updated

Jul 8, 2019By 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

Matt Nussbaum

Title

Manager

Phone

(212) 653-8730

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Healthcare and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760979371. Details of each certification follow.

• CCN 445465 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445465

Legal name

COLUMBIA TN SNF LLC

Doing business as

MAGNOLIA HEALTHCARE AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 4, 2002

Last certification

Jun 15, 2022

Beds

181

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Luxor HEalthcare

Organization structure

LLCProprietary

Enrollment address

1410 Trotwood Ave
Columbia, TN 38401-4901

Nursing home name

MAGNOLIA HEALTHCARE AND REHABILITATION CENTER

Listed as

Magnolia Healthcare and Rehabilitation CenterCCN 445465 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 4, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

18181.8 residents per day on average

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

Locations

All disclosed owners & managing parties 10

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

Practitioners 2

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.

• James C Couch III, M.D.

  • Family Medicine Physician
  • Mt Pleasant, TN
  • NPI 1376635052
  NPD (past)
• Richard D Kennedy, M.D.

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1215029897
  NPD (past)

Affiliated clinicians 2

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

• James C Couch III, M.D.

  • Family Medicine Physician
  • Mt Pleasant, TN
  • NPI 1376635052

  Nursing home

  Care Compare affiliation
• Richard D Kennedy, M.D.

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1215029897

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1760979371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 5TH AVE STE 1125",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-388-6443",
            "fax_number": "931-388-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA TN SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-653-8730"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Columbia, TN
• Providers in Columbia, 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 Jul 8, 2019; 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.