NPIMap

Organization Active NPI

Erwin Healthcare LLC

  • Skilled Nursing Facility
  • Erwin, TN
National Provider Identifier
1962394338
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ERWIN HEALTHCARE LLC
Practice address
100 Stalling LN
Erwin, TN 37650-9378
Phone
(423) 820-8473
NPI assigned
Jul 18, 2025
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Jacob Stern
Title
Manager
Phone
(732) 659-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Stalling LN
Erwin, TN 37650-9378

Mailing address

338 Whitesville Rd Ste 503
Jackson, NJ 08527-5091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260327003743 TN Part A Provider - Skilled Nursing Facility 0345725206 Practice locations: Erwin, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962394338. Details of each certification follow.

Skilled nursing facility certification: CCN 445291

Legal name
ERWIN HEALTHCARE LLC
Doing business as
ERWIN HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1992
Last certification
Mar 19, 2025
Beds
125
Ownership / control type
Individual
Organization structure
LLCProprietary
Enrollment address
100 Stalling LN
Erwin, TN 37650-9378
Nursing home name
ERWIN HEALTH CARE CENTER
Affiliated entity
GREEN TREE HEALTH MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Erwin Health Care CenterCCN 445291 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12571.8 residents per day on average
Chain
Green Tree Health Management8 facilities in the chain
Penalties (3 years)
2Fines totaling $10,024
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

100 Stalling Ln
Erwin, TN 37650
Phone (423) 743-4131

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jason Bennett Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Capital Holdings Trust Organization, Lakewood, NJ Adp of the SNF Sep 1, 2025
Indirect Ownership Interest Sep 1, 2025 43%
Baruch Jeremias Individual Indirect Ownership Interest Sep 1, 2025 2.2%
1026 Enterprises II, LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2025 45%
Adp of the SNF Sep 1, 2025
Starlight Healthcare LLC Organization, Jackson, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2025 45%
Adp of the SNF Sep 1, 2025
10-26 Nationwide TR Organization, Lakewood, NJ Adp of the SNF Sep 1, 2025
Indirect Ownership Interest Sep 1, 2025 43%
Horizon Healthcare Group LLC Organization, Lakewood, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2025 10%
Adp of the SNF Sep 1, 2025
Erwin Holdco LLC Organization, Jackson, NJ Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2025 100%
Adp of the SNF Sep 1, 2025
Jason a Colinger Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Jacob Stern Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2025
Operational/Managerial Control Sep 1, 2025
Managing Control - Governing Body Sep 30, 2025
Adp of the SNF Sep 1, 2025
BCJ Enterprises, LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2025 2%
Samuel Joseph Jeremias Individual Adp of the SNF Sep 1, 2025
Indirect Ownership Interest Sep 1, 2025
CCH Healthcare NC, LLC Organization, Lakewood, NJ LLC, Management services company, For-profit Operational/Managerial Control Sep 1, 2025
Adp of the SNF Nov 5, 2025
Erwin Propco LLC Organization, Jackson, NJ LLC, For-profit Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025

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 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1962394338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 WHITESVILLE RD STE 503",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STALLING LN",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376509378",
            "telephone_number": "423-820-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWIN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-659-1353"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

Verify at the official NPI Registry.