Andersonville Tn Holdco LLC
NPI 1184367781ActiveOrganization· Skilled Nursing Facility· Andersonville, TN
Skilled Nursing Facility in Andersonville, Tennessee, registered in NPPES in April 2022. The authorized official on file is David Herskowitz, Chief Financial Officer.
Overview
| NPI | 1184367781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2022 |
| Last updated in NPPES | Feb 8, 2023 |
| Certified by provider | Feb 8, 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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