Active NPI
Ave Maria Home
- Nursing Facility/Intermediate Care Facility
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 0000000232
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440499 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
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
- Corporation
- 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 Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 2009
- Medicare certification status
- Active
- Certified beds
- 100
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0315064 | Ave Maria Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Danny Johnson | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 34% |
| Corporate Officer | Jan 1, 2019 | ||
| William McGraw | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Corporate Officer | Jan 1, 2023 | ||
| Elbert E Hines | Adp of the SNF | May 13, 2026 | |
| Jeannie O'Toole | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Corporate Officer | Jan 1, 2023 | ||
| Emmanuel Wilson | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Memphis, TN
- NPI 1801896881
Adp of the SNF
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.
-
- Nursing Facility/Intermediate Care Facility
- Memphis, TN
- NPI 1093255101
Practitioners & affiliated clinicians
Practitioners 39
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Memphis, TN
- NPI 1598096786
-
- Physical Therapist
- Germantown, TN
- NPI 1912668633
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Memphis, TN
- NPI 1801896881
Nursing home
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440499",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.