NPIMap

Organization Active NPI

Ave Maria Home

  • Nursing Facility/Intermediate Care Facility
  • Memphis, TN
National Provider Identifier
1831250604
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0000000232 Issued in TN
Legal business name
AVE MARIA HOME
Practice address
2805 Charles Bryan Rd
Memphis, TN 38134-4756
Phone
(901) 386-3211
Fax
(901) 405-3783
NPI assigned
Dec 13, 2006
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Mr. Frank Gattuso
Title
Administrator
Phone
(901) 386-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0000000232 TN Primary

Addresses

Primary practice location

2805 Charles Bryan Rd
Memphis, TN 38134-4756

Mailing address

2805 Charles Bryan Rd
Memphis, TN 38134-4756
Phone (901) 386-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080905000510 TN Part A Provider - Skilled Nursing Facility 2365518909 Practice locations: Bartlett, TN
O20210625000272 TN Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2365518909 Practice locations: Bartlett, TN
O20211028001255 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365518909 Receives reassigned benefits from 35 practitioners
Practice locations: Bartlett, TN; Memphis, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831250604. Details of each certification follow.

Skilled nursing facility certification: CCN 445490

Legal name
AVE MARIA HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 2009
Last certification
May 12, 2022
Beds
100
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 29, 1955 in TN
Enrollment address
2805 Charles Bryan Rd
Bartlett, TN 38134-4756
Nursing home name
AVE MARIA HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ave Maria HomeCCN 445490 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10092.8 residents per day on average
Penalties (3 years)
3Fines totaling $27,921

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
44D0315064Ave Maria Home2805 Charles Bryan Rd, Memphis, TN 38134Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Danny Johnson Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2019 34%
Corporate OfficerBoard President Jan 1, 2019
William McGraw Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Corporate OfficerSecretary of the Board Jan 1, 2023
Elbert E Hines Individual Adp of the SNF May 13, 2026
Jeannie O'Toole Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Corporate OfficerVice President of the Board Jan 1, 2023
Emmanuel Wilson Individual Operational/Managerial Control May 26, 2025
Adp of the SNF Nov 24, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 39

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.

View all 39

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1831250604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CHARLES BRYAN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381344756",
            "telephone_number": "901-386-3211",
            "fax_number": "901-405-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CHARLES BRYAN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381344756",
            "telephone_number": "901-386-3211",
            "fax_number": "901-405-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE MARIA HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "GATTUSO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-386-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.