NPIMap

Organization Active NPI

Hancock Manor LLC

Doing business as Hancock Manor Nursing Home

  • Skilled Nursing Facility
  • Sneedville, TN
National Provider Identifier
1871605287
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000115 Issued in TN
Legal business name
HANCOCK MANOR LLC
Doing business as
Hancock Manor Nursing Home
Practice address
1423 Main St
Sneedville, TN 37869-3654
Phone
(423) 733-4783
Fax
(423) 733-2944
NPI assigned
Aug 31, 2006
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Mr. John Sheehan
Title
Owner
Phone
(423) 618-1488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000115 TN Primary

Addresses

Primary practice location

1423 Main St
Sneedville, TN 37869-3654

Mailing address

1423 Main St
Sneedville, TN 37869-3654
Phone (423) 733-4783

Other identifiers 1

IdentifierTypeStateIssuer
7440507MedicaidTN

Other names 1

  • Hancock Manor Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030708000026 TN Part A Provider - Skilled Nursing Facility 2062322902 Practice locations: Sneedville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871605287. Details of each certification follow.

Skilled nursing facility certification: CCN 445459

Legal name
HANCOCK MANOR, LLC
Doing business as
HANCOCK MANOR NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 2002
Last certification
Sep 8, 2022
Beds
50
Ownership / control type
Corporation
Multi-facility organization
Twin Rivers Health and Rehabilitation
Organization structure
LLCProprietary
Enrollment address
1423 Main St
Sneedville, TN 37869-3654
Nursing home name
HANCOCK MANOR NURSING HOME
Affiliated entity
TWIN RIVERS HEALTH & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hancock Manor Nursing HomeCCN 445459 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5026.6 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
44D0977130Hancock Manor Nursing Home1423 Main Street, Sneedville, TN 37869Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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 Operational/Managerial Control Jan 1, 2019
Indirect Ownership Interest Apr 30, 2009 50%
Twin Rivers Health & Rehabilitation LLC Organization, Cleveland, TN LLC, For-profit, Chain home office Operational/Managerial Control Jan 1, 2019 100%
Adp of the SNF Apr 9, 2025
Pioneer Consulting LLC Organization, Chattanooga, TN LLC, Consulting firm Operational/Managerial Control Jan 1, 2019
Adp of the SNF Apr 9, 2025
Michelle Holcombe Individual Adp of the SNF Jan 1, 2019
Clinton Davis Individual Operational/Managerial ControlCeo Jan 1, 2019 100%
Irrevocable Grantor Trust Agreement of John J Sheehan, Jr Organization, Cleveland, TN Indirect Ownership Interest Apr 30, 2009 49%
Margaret Sheehan Individual Indirect Ownership Interest Apr 30, 2009 50%
Rual C Swanson Individual Operational/Managerial Control May 18, 2023
Adp of the SNF May 18, 2023
Sneedville Healthcare LLC Organization, Cleveland, TN Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Apr 30, 2009 100%
Irrevocable Grantor Trust Agreement of Margaret Phillips Sheehan Organization, Cleveland, TN Indirect Ownership Interest Apr 30, 2009 49%
J-M Investments, LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control Apr 30, 2009
Indirect Ownership Interest Apr 30, 2009 100%
George Wiley Brewer Individual Operational/Managerial Control Jan 16, 2007
Adp of the SNF Jan 16, 2007

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1871605287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 MAIN ST",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378693654",
            "telephone_number": "423-733-4783",
            "fax_number": "423-733-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 MAIN ST",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378693654",
            "telephone_number": "423-733-4783",
            "fax_number": "423-733-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-618-1488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440507",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hancock Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sneedville, TN

Sources for this page

Verify at the official NPI Registry.