Active NPI
Trezevant Episcopal Home
Doing business as Allen Morgan Health & Rehabilitation Center
- Nursing Facility/Intermediate Care Facility
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 0000000230
- Legal business name
- TREZEVANT EPISCOPAL HOME
- Doing business as
- Allen Morgan Health & Rehabilitation Center
- Practice address
- 177 N Highland St
Memphis, TN 38111-4747 - Phone
- (901) 325-4000
- Fax
- (901) 324-5039
- NPI assigned
- Jan 18, 2006
- Last updated
- Aug 4, 2008
- 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
- Mrs. Dawn Wade
- Title
- Chief Financial Officer
- Phone
- (901) 325-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0000000230 | TN | Primary |
Addresses
Primary practice location
177 N Highland St
Memphis, TN 38111-4747
Mailing address
177 N Highland St
Memphis, TN 38111-4747
Phone (901) 325-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097505 | Other | TN | BC/BS PROVIDER NUMBER |
Other names 1
- Allen Morgan Health & 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 |
|---|---|---|---|---|
| O20081107000646 | TN | Part A Provider - Skilled Nursing Facility | 0547329328 | Practice locations: Memphis, TN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972583813. Details of each certification follow.
Skilled nursing facility certification: CCN 445133
- Legal name
- TREZEVANT EPISCOPAL HOME
- Doing business as
- ALLEN MORGAN HEALTH AND REHABILITAITON CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Aug 28, 1980
- Last certification
- Jul 14, 2021
- Beds
- 104 (31 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 6, 1973 in TN
- Enrollment address
- 177N Highland St
Memphis, TN 38111-4747 - Nursing home name
- ALLEN MORGAN HEALTH AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Allen Morgan Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Aug 28, 1980
- Medicare certification status
- Active
- Certified beds
- 31
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0659336 | Allen Morgan Health Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| John Ivy | Corporate Director | Jan 1, 2014 | |
| Dawn Wade | Corporate Officer | Oct 20, 1997 | |
| C Bradford Foster | Corporate Director | Oct 30, 2014 | |
| Paul Martin | Operational/Managerial Control | Oct 1, 2015 | 100% |
| Stephen Reynolds | Corporate Director | Oct 30, 2014 | |
| James H Calandruccio | Corporate Director | Oct 30, 2014 | |
| John Webb | Corporate Officer | Mar 1, 2001 | |
| Merilyn G Mangum | Corporate Director | Oct 30, 2014 | |
| Bruce Taylor | Corporate Director | Oct 30, 2014 | |
| Kent Phillips | Corporate Officer | Mar 1, 2015 | 100% |
| Kenneth F Clark | Corporate Director | Oct 29, 2014 | |
| Bruce Bond Hopkins | Corporate Director | Oct 30, 2014 | |
| Deborah O Schadt | Corporate Director | Oct 28, 2014 | |
| Thomas Hanlen | Corporate Officer | Jul 22, 2010 | |
| John Malmo | Corporate Director | Oct 30, 2014 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Orthopaedic Hand Surgery Physician
- Germantown, TN
- NPI 1316933138
Corporate Director
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Memphis, TN
- NPI 1669470316
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1972583813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 N HIGHLAND ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381114747",
"telephone_number": "901-325-4000",
"fax_number": "901-324-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 N HIGHLAND ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381114747",
"telephone_number": "901-325-4000",
"fax_number": "901-324-5039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREZEVANT EPISCOPAL HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-18",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "901-325-4000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "TN",
"license": "0000000230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "0097505",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Allen Morgan Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
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- Victoria Traylor, LPC-MHSP,CRC
- Trea Health RX LLC
- Gary F Trew, M.D.
- May Trezevant, PHARMD
- Tri State Community Health Center
- Tri State Community Health Center (Tri State Community Health Center Pharmacy)
- Tri-Med Pharmacy LLC (Orion Rx - Memphis)
- Tri-State Gastroenterology, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.