Organization Active NPI

Reelfoot Operator LLC

Doing business as Reelfoot Manor Health and Rehab

  • Skilled Nursing Facility
  • Tiptonville, TN
National Provider Identifier
1861664955
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000151 Issued in TN
Legal business name
REELFOOT OPERATOR LLC
Doing business as
Reelfoot Manor Health and Rehab
Practice address
1034 Reelfoot St
Tiptonville, TN 38079-1607
Phone
(731) 253-6681
Fax
(731) 253-8014
NPI assigned
Mar 28, 2008
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Lori A. Chambers
Title
Administrator
Phone
(731) 253-6681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000151 TN Primary

Addresses

Primary practice location

1034 Reelfoot St
Tiptonville, TN 38079-1607

Mailing address

1034 Reelfoot St
Tiptonville, TN 38079-1607
Phone (731) 253-6681

Other identifiers 2

IdentifierTypeStateIssuer
0445285 (SNF)MedicaidTN
7440374 (ICF)MedicaidTN

Other names 1

  • Reelfoot Manor Health and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080528000229 FL Part A Provider - Skilled Nursing Facility 3678643087 Practice locations: Tiptonville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861664955. Details of each certification follow.

Skilled nursing facility certification: CCN 445285

Legal name
REELFOOT OPERATOR LLC
Doing business as
REELFOOT MANOR HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1992
Last certification
May 19, 2022
Beds
116
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Feb 1, 2026
Organization structure
LLCProprietary
Incorporated
Mar 4, 2008 in FL
Enrollment address
1034 Reelfoot St
Tiptonville, TN 38079-1607

Care Compare: Nursing home

Medicare Care Compare
Listed as
Reelfoot Manor Health and RehabCCN 445285 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11640.6 residents per day on average

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
44D0689818Reelfoot Operator, LLC1034 Reelfoot Street, Tiptonville, TN 38079Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Stuart D Lindeman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 5%
Corporate OfficerCeo Jan 1, 2015 100%
Jamie Yoakum Individual Corporate OfficerCfo Mar 21, 2024
Operational/Managerial ControlCfo Mar 21, 2024
Michelle Barnes Individual Operational/Managerial Control Dec 1, 2018
Barres, LLC Organization, Tampa, FL LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2015 5%
GBD LLC Organization, Tampa, FL LLC 5% Or Greater Direct Ownership Interest Mar 4, 2008 100%
Operational/Managerial Control Feb 25, 2015
Joseph M Passero Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 5%
Scott N Feuer Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 45%
Mission Health of Georgia, LLC Organization, Tampa, FL LLC Operational/Managerial Control Jan 1, 2015
T and C Capital Assets, LLC Organization, Tampa, FL LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2015 5%
Bryan L Crino Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 45%
Windward Health Partners LLC Organization, Tampa, FL LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2015 90%

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

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.

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": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1861664955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 REELFOOT ST",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791607",
            "telephone_number": "731-253-6681",
            "fax_number": "731-253-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 REELFOOT ST",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791607",
            "telephone_number": "731-253-6681",
            "fax_number": "731-253-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REELFOOT OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-253-6681"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445285 (SNF)",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440374 (ICF)",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reelfoot Manor Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tiptonville, TN

Sources for this page

Verify at the official NPI Registry.