Organization Active NPI

Camden Operator LLC

Doing business as Camden Healthcare & Rehab Center

  • Skilled Nursing Facility
  • Camden, TN
National Provider Identifier
1871664649
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
008 Issued in TN
Legal business name
CAMDEN OPERATOR LLC
Doing business as
Camden Healthcare & Rehab Center
Camden Healthcare and Rehabilitation Center
Practice address
197 Hospital Dr
Camden, TN 38320-1617
Phone
(731) 584-3500
Fax
(731) 584-2753
NPI assigned
Nov 13, 2006
Last updated
Apr 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Mr. Stacey Paul Rogers
Title
Chief Financial Officer
Phone
(502) 429-8062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 008 TN Primary

Addresses

Primary practice location

197 Hospital Dr
Camden, TN 38320-1617

Mailing address

7400 New la Grange Rd
Suite 100
Louisville, KY 40222-4870
Phone (502) 429-8062

Other names 2

  • Camden Healthcare & Rehab Center Doing business as
  • Camden Healthcare and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070227000379 TN Part A Provider - Skilled Nursing Facility 8123120813 Practice locations: Camden, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871664649. Details of each certification follow.

Skilled nursing facility certification: CCN 445274

Legal name
CAMDEN OPERATOR LLC
Doing business as
CAMDEN HEALTHCARE & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 4, 1991
Last certification
May 1, 2025
Beds
120
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Nov 2, 2006 in DE
Enrollment address
197 Hospital Dr
Camden, TN 38320-1617
Nursing home name
CAMDEN HEALTHCARE & REHAB CENTER
Affiliated entity
PRESTIGE ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Camden Healthcare & Rehab CenterCCN 445274 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 4, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12047.7 residents per day on average
Chain
Prestige Administrative Services9 facilities in the chain
Penalties (3 years)
1Fines totaling $105,447

Processed by Care Compare on Aug 1, 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
Cody Healthcare S Corp Organization, Agoura Hills, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 31, 2019 50%
B&Y Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Dec 31, 2019 50%
Prestige Administrative Services, LLC Organization, Louisville, KY LLC, Consulting firm, For-profit Operational/Managerial Control Jan 1, 2016
Craig a Flashner Individual Corporate DirectorLLC Member / Authorized Official Dec 31, 2019
Operational/Managerial ControlLLC Member / Authorized Official Dec 31, 2019
Kristine Ranel Kirk Individual W-2 Managing EmployeeDelegated Official Jan 1, 2018
Robert L Norcross Individual Contracted Managing EmployeeChief Executive Officer Jan 1, 2014
Craig Flashner 2007 Trust Organization, Agoura Hills, CA 5% Or Greater Indirect Ownership Interest Dec 31, 2019 50%
Northpoint Regional LLC Organization, Louisville, KY Management services company Operational/Managerial Control Feb 1, 2007
B&Y Healthcare S Corp Organization, Brooklyn, NY Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 31, 2019 50%
Stacey Paul Rogers Individual Contracted Managing EmployeeCfo Oct 30, 2014
Yitzchok a Perlstein Individual Operational/Managerial ControlLLC Member Dec 31, 2019

Facilities with the same owner 77

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

View all 77

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1871664649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "502-429-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201617",
            "telephone_number": "731-584-3500",
            "fax_number": "731-584-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-429-8062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Healthcare & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Camden Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, TN

Sources for this page

Verify at the official NPI Registry.