St. Mary's Holston Health and Rehabilitation Center, Inc.
NPI 1083752901ActiveOrganization· Nursing Facility/Intermediate Care Facility· Knoxville, TN
Nursing Facility/Intermediate Care Facility in Knoxville, Tennessee, registered in NPPES in February 2007, part of St. Mary's Health System, Inc. The authorized official on file is Angel David Jimenez, Interim Ceo.
Overview
| NPI | 1083752901 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St. Mary's Health System, Inc |
| NPI issued | Feb 2, 2007 |
| Last updated in NPPES | Dec 2, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 0000000333 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nursing Facility/Intermediate Care Facility providers in Knoxville
- 1336148816
- 1497740211
- 1942202171
- 1215889654
All Nursing Facility/Intermediate Care Facility providers in Tennessee