Active NPI
Camden Operator LLC
Doing business as Camden Healthcare & Rehab Center
- Skilled Nursing Facility
- Camden, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 008
- 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, 2020
- 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. Stacey Paul Rogers
- Title
- Chief Financial Officer
- Phone
- (502) 429-8062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Camden Healthcare and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 4, 1991
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Prestige Administrative Services
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Cody Healthcare S Corp | 5% Or Greater Direct Ownership Interest | Dec 31, 2019 | 50% |
| B&Y Trust | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 50% |
| Prestige Administrative Services, LLC | Operational/Managerial Control | Jan 1, 2016 | |
| Craig a Flashner | Corporate Director | Dec 31, 2019 | |
| Operational/Managerial Control | Dec 31, 2019 | ||
| Kristine Ranel Kirk | W-2 Managing Employee | Jan 1, 2018 | |
| Robert L Norcross | Contracted Managing Employee | Jan 1, 2014 | |
| Craig Flashner 2007 Trust | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 50% |
| Northpoint Regional LLC | Operational/Managerial Control | Feb 1, 2007 | |
| B&Y Healthcare S Corp | 5% Or Greater Direct Ownership Interest | Dec 31, 2019 | 50% |
| Stacey Paul Rogers | Contracted Managing Employee | Oct 30, 2014 | |
| Yitzchok a Perlstein | Operational/Managerial Control | Dec 31, 2019 |
Facilities with the same owner 77
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Rainbow Rehab & Healthcare
- Skilled Nursing Facility
- Bartlett, TN
- NPI 1780160408
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC
-
dba Greystone Health Care Center
- Skilled Nursing Facility
- Blountville, TN
- NPI 1356413843
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC
-
dba Pine Meadows Healthcare
- Skilled Nursing Facility
- Bolivar, TN
- NPI 1316018286
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC
-
dba Huntingdon Health & Rehabilitation Center
- Skilled Nursing Facility
- Huntingdon, TN
- NPI 1568533206
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC
-
dba Jefferson City Health & Rehab Center
- Skilled Nursing Facility
- Jefferson City, TN
- NPI 1376614164
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC
-
dba River of Life Care Center
- Skilled Nursing Facility
- Memphis, TN
- NPI 1821169517
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC
-
dba Ripley Healthcare & Rehabilitation Center
- Skilled Nursing Facility
- Ripley, TN
- NPI 1780758755
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Northpoint Regional LLC, Prestige Administrative Services, LLC
-
dba Medilodge of Alpena
- Skilled Nursing Facility
- Alpena, MI
- NPI 1891211264
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
dba Medilodge of Capital Area
- Skilled Nursing Facility
- Lansing, MI
- NPI 1528465739
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
dba Arbors at Carroll
- Skilled Nursing Facility
- Carroll, OH
- NPI 1528466471
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
dba Medilodge of Cass City
- Skilled Nursing Facility
- Cass City, MI
- NPI 1316344526
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
-
dba Medilodge of Cheboygan
- Skilled Nursing Facility
- Cheboygan, MI
- NPI 1295251676
B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Prestige Administrative Services, LLC
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.
-
- Family Medicine Physician
- Camden, TN
- NPI 1770521940
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
- Camden General Hospital
- Camden General Hospital (Camden ER)
- Camden General Hospital, Inc. (West Tennessee Healthcare Camden Hospital)
- Camden General Hospital, Inc. (West Tennessee Healthcare Camden Hospital)
- Camden Medical Clinic, Inc
- Steven Lee Cannady, F.N.P.
- William Raymond Carney, M.D.
- Matthew Carrico, PA-C
- Mickie Carter, MS, PA-C
- CCC Medical Equipment, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.