NPIMap

Organization Active NPI

Lacefield Healthcare LLC

  • Skilled Nursing Facility
  • Savannah, TN
National Provider Identifier
1992530232
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LACEFIELD HEALTHCARE LLC
Practice address
1645 Florence Rd
Savannah, TN 38372-5210
Phone
(731) 926-4200
NPI assigned
Sep 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1645 Florence Rd
Savannah, TN 38372-5210

Mailing address

1645 Florence Rd
Savannah, TN 38372-5210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250604003839 TN Part A Provider - Skilled Nursing Facility 6709395239 Practice locations: Savannah, TN

Skilled nursing facility certification: CCN 445444

Legal name
LACEFIELD HEALTHCARE LLC
Doing business as
SAVANNAH NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2002
Last certification
Nov 20, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ensign Services
Most recent change of ownership
Jan 1, 2025
Organization structure
LLCProprietary
Enrollment address
1645 Florence Rd
Savannah, TN 38372-5210
Nursing home name
SAVANNAH NURSING AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Savannah Nursing and RehabilitationCCN 445444
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12099.9 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0925962Lacefield Healthcare LLC1645 Florence Road, Savannah, TN 38372Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

1645 Florence Rd
Savannah, TN 38372
Phone (731) 926-4200

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Adam Camper Individual Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyAdministrator Jan 1, 2025
Adp of the SNF Mar 21, 2025
Tyler Albrechtsen Individual Corporate OfficerRocky Top Pres, Lacefield Manager Aug 12, 2024
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Aug 12, 2024 100%
Ami Sato Individual Corporate OfficerTreasurer of Lacefield Healthcare Sep 9, 2024
Joseph a Peters Individual Managing Control - Governing BodyMedical Director Jan 1, 2025
Adp of the SNF Jan 1, 2025
Brent Thatcher Individual Corporate OfficerPresident of Lacefield Healthcare Aug 12, 2024
Rocky Top Healthcare LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 12, 2024 100%
Soon Burnam Individual Corporate OfficerSecretary of Lacefield Healthcare Aug 12, 2024

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 8

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1992530232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 FLORENCE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383725210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 FLORENCE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383725210",
            "telephone_number": "731-926-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEFIELD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

Verify at the official NPI Registry.