NPIMap

Organization Active NPI

Saint Thomas Highlands Hospital, LLC

Doing business as Ascension Saint Thomas Highlands

  • General Acute Care Hospital
  • Sparta, TN
National Provider Identifier
1922487966
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SAINT THOMAS HIGHLANDS HOSPITAL, LLC
Doing business as
Ascension Saint Thomas Highlands
Practice address
401 Sewell Dr
Sparta, TN 38583-1223
Phone
(931) 738-9211
NPI assigned
May 22, 2015
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Lisa R Davis
Title
Cfo
Phone
(615) 284-6845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

401 Sewell Dr
Sparta, TN 38583-1223

Mailing address

102 Woodmont Blvd
Suite 800
Nashville, TN 37205-2287

Other names 1

  • Ascension Saint Thomas Highlands Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150904000453 TN Part A Provider - Hospital 7618283623 Practice locations: Cookeville, TN; Sparta, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922487966. Details of each certification follow.

Hospital certification: CCN 440192

Legal name
SAINT THOMAS HIGHLANDS HOSPITAL LLC
Doing business as
ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1978
Last certification
Dec 1, 2006
Beds
60
Ownership / control type
Private (for profit)
Most recent change of ownership
Aug 1, 2015 (4 total)
Organization structure
LLCNon-profit
Enrollment address
401 Sewell Dr
Sparta, TN 38583-1223
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Saint Thomas Highlands HospitalCCN 440192 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Saint Thomas Highlands Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Brandon Williams Individual Corporate OfficerCfo Jul 1, 2019
Saint Thomas Regional Hospitals Organization, Nashville, TN Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%
Robert Arthur Peglow Individual W-2 Managing EmployeeChief Administrative Officer Jan 1, 2020
Saint Thomas Highlands Hospital LLC Organization, Nashville, TN Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%
Saint Thomas Health Organization, Nashville, TN Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%
Ascension Health Organization, Saint Louis, MO Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 164

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

View all 164

Practitioners & affiliated clinicians

Practitioners 3

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 120

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1922487966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD",
            "address_2": "SUITE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SEWELL DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831223",
            "telephone_number": "931-738-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT THOMAS HIGHLANDS HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-284-6845"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Saint Thomas Highlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, TN

Sources for this page

Verify at the official NPI Registry.