Woodridge of West Tennessee, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

WOODRIDGE OF WEST TENNESSEE, LLC

Doing business as

Perimeter Behavioral Hospital of Jackson

Practice address

49 Old Hickory Blvd
Jackson, TN 38305-4551

Phone

(731) 668-5880

Fax

(731) 668-5870

NPI assigned

Sep 11, 2014

Last updated

Nov 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rochelle Gerber

Title

Avp of Administrative Services

Phone

(470) 554-7903

Specialties & licenses 1

Addresses

Other names 1

• Perimeter Behavioral Hospital of Jackson Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922409788. Details of each certification follow.

• CCN 444023 Hospital · Active · Details

Hospital certification: CCN 444023

Legal name

WOODRIDGE OF WEST TENNESSEE, LLC

Doing business as

PERIMETER BEHAVIORAL HOSPITAL OF JACKSON

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Jul 9, 2015

Last certification

Jul 9, 2015

Beds

16

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Aug 8, 2013 in DE

Enrollment address

49 Old Hickory Blvd
Jackson, TN 38305-4551
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric

Listed as

Perimeter Behavioral Center of JacksonCCN 444023 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• State of Alaska Department of Administration

  dba Alaska Psychiatric Institute

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1497842553

  Member Of

  NPD member

All disclosed owners & managing parties 17

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

Facilities with the same owner 19

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

• Behavioral Healthcare Center at Clarksville, LLC

  dba Unity Psychiatric Care- Clarksville

  • Psychiatric Hospital
  • Clarksville, TN
  • NPI 1346570777

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Columbia, LLC

  • Psychiatric Hospital
  • Columbia, TN
  • NPI 1891000923

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Martin LLC

  • Psychiatric Hospital
  • Martin, TN
  • NPI 1144324831

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Memphis, LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1235516097

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Clarksville Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Clarksville, TN
  • NPI 1790740462

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Crestview Health Care and Rehabilitation LLC

  • Skilled Nursing Facility
  • Brownsville, TN
  • NPI 1972568749

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Lewis County Nursing and Rehabilitation Center LLC

  dba AHC Natchez Trace

  • Skilled Nursing Facility
  • Hohenwald, TN
  • NPI 1538124045

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Lexington Health Care and Rehabilitation LLC

  • Skilled Nursing Facility
  • Lexington, TN
  • NPI 1730144155

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• McKenzie Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • McKenzie, TN
  • NPI 1457316887

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Mt Juliet Health Care Center LLC

  • Skilled Nursing Facility
  • Mount Juliet, TN
  • NPI 1508821752

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Waverly Health Care and Rehabilitation Center, LLC

  • Nursing Facility/Intermediate Care Facility
  • Waverly, TN
  • NPI 1730145822

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Wellpark Healthcare Center, LLC

  dba AHC Volunteer Transitional Care

  • Skilled Nursing Facility
  • Knoxville, TN
  • NPI 1528811130

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership

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.

• Roger Lew Hiatt Jr., MD

  • Child & Adolescent Psychiatry Physician
  • West Memphis, AR
  • NPI 1417082710

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1922409788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 NORTHWINDS PKWY STE 550",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092236",
            "telephone_number": "470-554-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OLD HICKORY BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054551",
            "telephone_number": "731-668-5880",
            "fax_number": "731-668-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRIDGE OF WEST TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "AVP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "470-554-7903"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perimeter Behavioral Hospital of Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Markeshe Wood, NP
• Norma Baker Wood, FNP
• Shayna Kay Wood
• Tabitha R Woodard, APN
• Woodridge of Tennessee, LLC (Madison Oaks Academy)
• Arthur Hopkins Woods, MD
• Bentley Woods, FNP-C
• Deborah Woods, A.P.R.N.
• Mary Kaye Chafin Woods, PT
• Rose Marie Woods, CASE MANAGER

• Psychiatric Hospital in Jackson, TN
• Providers in Jackson, TN by specialty
• Psychiatric Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.

Verify at the official NPI Registry.