Andersonville Tn Opco, LLC
NPI 1083357628ActiveOrganization· Skilled Nursing Facility· Andersonville, TN
Skilled Nursing Facility in Andersonville, Tennessee, registered in NPPES in April 2022. The authorized official on file is David Rubinstein, Chief Financial Officer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1083357628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2022 |
| Last updated in NPPES | Feb 7, 2023 |
| Certified by provider | Feb 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (TN) |
|---|
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