Ocoee Copper Basin Health and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OCOEE COPPER BASIN HEALTH AND REHABILITATION CENTER LLC

Practice address

166 Industrial Drive
Ducktown, TN 37326

Phone

(423) 496-3245

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

John Sheehan

Title

President

Phone

(423) 618-1488

Specialties & licenses 1

Addresses

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Scott

  • Speech-Language Pathologist
  • Ducktown, TN
  • NPI 1396446449
  NPD
• Andrew Sims

  • Physical Therapy Assistant
  • Ducktown, TN
  • NPI 1174224273
  NPD
• Lisa Woodard, DPT

  • Physical Therapist
  • Ducktown, TN
  • NPI 1134820269
  NPD
• Eric Lee Satterfield, D.O.

  • Family Medicine Physician
  • Copperhill, TN
  • NPI 1912052655
  NPD (past)
• Allen Stephen Uhlik, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Copperhill, TN
  • NPI 1023097177
  NPD (past)
• Gary W Hunt, MD

  • Family Medicine Physician
  • Blue Ridge, GA
  • NPI 1265436539
  NPD (past)
• Elias Georges Issa, MD

  • Internal Medicine Physician
  • Blue Ridge, GA
  • NPI 1053305888
  NPD (past)
• Charles Stephen Watras, MD

  • Family Medicine Physician
  • Murphy, NC
  • NPI 1891772737
  NPD (past)

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1841997269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 ADKISSON DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122821",
            "telephone_number": "423-641-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 INDUSTRIAL DRIVE",
            "city": "DUCKTOWN",
            "state": "TN",
            "postal_code": "37326",
            "telephone_number": "423-496-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOEE COPPER BASIN HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-618-1488"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Kimsey Campbell Jr., D.PH.
• Joseph Anthony Kemper Sr., PHD LCPT
• Kimsey Pharmacy LLC
• Life Care Centers of America, Inc.
• Caleb Logan
• Jodie Reams
• Katherine Scott
• Andrew Sims
• Lisa Woodard, DPT

• All providers in Ducktown, TN
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.