NPIMap

Organization Active NPI

Elk River Health & Nursing Center of Ardmore LLC

  • Skilled Nursing Facility
  • Ardmore, TN
National Provider Identifier
1821556812
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELK RIVER HEALTH & NURSING CENTER OF ARDMORE LLC
Practice address
24623 Union Hill Road
Ardmore, TN 38449-3155
Phone
(931) 427-2143
NPI assigned
Mar 8, 2019
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
John Sheehan
Title
Trustee
Phone
(423) 618-1488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

24623 Union Hill Road
Ardmore, TN 38449-3155

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190729003004 TN Part A Provider - Skilled Nursing Facility 9032445010 Practice locations: Ardmore, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821556812. Details of each certification follow.

Skilled nursing facility certification: CCN 445321

Legal name
ELK RIVER HEALTH & NURSING CENTER OF ARDMORE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1993
Last certification
Jan 23, 2020
Beds
79
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Twin Rivers
Organization structure
LLCNon-profit
Incorporated
Feb 21, 2019 in TN
Enrollment address
24623 Union Hill Rd
Ardmore, TN 38449-3101
Nursing home name
ELK RIVER HEALTH AND NURSING CENTER OF ARDMORE, LL
Affiliated entity
TWIN RIVERS HEALTH & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elk River Health and Nursing Center of Ardmore, LLCCN 445321 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7957.7 residents per day on average
Chain
Twin Rivers Health & Rehabilitation11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0885666Elk River Health & Nursing Center of Ardmore24623 Union Hill Road, Ardmore, TN 38449Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

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
John J Sheehan Individual Corporate OfficerPresident Feb 22, 2019 100%
Operational/Managerial Control Apr 1, 2019
Managing Control - Governing BodyPresident Jun 19, 2008
Trustee of the SNF Jun 19, 2008
John Sheehan Individual Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyVice President Feb 7, 2024
Twin Rivers Health & Rehabilitation LLC Organization, Cleveland, TN LLC, For-profit, Chain home office Operational/Managerial Control Apr 1, 2019
Adp of the SNF Jul 8, 2025
Kathleen S Kupchynsky Individual Operational/Managerial Control Feb 4, 2024
Managing Control - Governing BodyDirector Feb 7, 2024
Pioneer Consulting LLC Organization, Chattanooga, TN LLC, Consulting firm, For-profit Operational/Managerial Control Apr 1, 2019
Adp of the SNF Mar 27, 2025
Michelle Holcombe Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Clinton Davis Individual Operational/Managerial ControlCeo Apr 1, 2019 100%
Adp of the SNF Jan 1, 2019
Frank Alan Smith Individual Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyDirector Feb 7, 2024
Margaret Sheehan Individual Corporate OfficerTreasurer Sep 1, 2008 100%
Operational/Managerial Control Jun 18, 2008
Managing Control - Governing BodyTreasurer Sep 1, 2008
Trustee of the SNF Apr 1, 2019
Kurt Douglas Holm Individual Operational/Managerial Control Feb 8, 2023
Adp of the SNF Feb 8, 2023
Robyn F Wilson Individual Operational/Managerial Control May 8, 2024
Adp of the SNF May 8, 2024
Don Bradley Individual Operational/Managerial Control Feb 7, 2022
Managing Control - Governing BodyDirector Feb 7, 2024
Dorothy C Phillips Individual Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyDirector Feb 7, 2024
William Burton Individual Operational/Managerial Control Feb 7, 2024
Managing Control - Governing BodyDirector Feb 7, 2024
Ocoee Foundation Inc Organization, Cleveland, TN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2019 100%
Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Ocoee Ardmore Property Investment LLC Organization, Cleveland, TN LLC, Non-profit Adp of the SNF Apr 1, 2019

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.

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": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1821556812",
    "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": "24623 UNION HILL ROAD",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493155",
            "telephone_number": "931-427-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK RIVER HEALTH & NURSING CENTER OF ARDMORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "423-618-1488"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, TN

Sources for this page

Verify at the official NPI Registry.