THE PALACE HEALTHCARE AND REHABILITATION CENTER
NPI 1114571627
Skilled Nursing Facility in Red Boiling Springs, TN

Q: What is Red Boiling Springs Tn Opco LLC's NPI number?

The NPI number for Red Boiling Springs Tn Opco LLC is 1114571627. It was assigned to this organization in the NPPES registry on August 1, 2019. The provider is doing business as The Palace Healthcare And Rehabilitation Center.

Q: What is Red Boiling Springs Tn Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does Red Boiling Springs Tn Opco LLC have?

CMS rates Red Boiling Springs Tn Opco LLC 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since August 01, 2019CLIA 44D0860305 · Waiver

1/5

Overall Rating

309 MAIN ST, RED BOILING SPRINGS, TN 37150(615) 699-2238 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, Aug 1, 2019 (2 updates tracked since 2019).

On this page

About The Palace Healthcare And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PALACE HEALTHCARE AND REHABILITATION CENTER (NPI 1114571627) is a healthcare organization registered as a skilled nursing facility in Red Boiling Springs, Tennessee and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mick Vujanovic, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114571627

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameRED BOILING SPRINGS TN OPCO LLC

Location Address309 MAIN STRed Boiling Springs, TN 37150-2149

Mailing Address2100 Cherokee Ridge Way Ste 100Louisville, KY 40205-1600 · (502) 667-8150

Phone(615) 699-2238

Organization SubpartNo

Authorized OfficialMick VujanovicCeo · (502) 667-8150

Enumeration DateAugust 1, 2019

Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1114571627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedRespite CareTaxonomy 385H00000X

309 MAIN ST, Red Boiling Springs, TN 37150

Open in Google Maps ↗

Other Names 1

Doing Business AsThe Palace Healthcare And Rehabilitation Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0860305

Red Boiling Springs Tn Opco LLC Dba The Palace Health And Rehabilitation Center · Red Boiling Springs, TN

Active · expires Aug 31, 2026

CLIA Number44D0860305

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorBrian Vermillion

Laboratory Phone(615) 699-2238

Laboratory LocationRed Boiling Springs Tn Opco LLC Dba The Palace Health And Rehabilitation Center309 Main St, Red Boiling Springs, TN 37150

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Red Boiling Springs Tn Opco LLC (CMS certification number 445329), from CMS Care Compare.

Red Boiling Springs Tn Opco LLC

Nursing home · Red Boiling Springs, TN

1/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number445329

Certified Beds119 beds51 residents per day on average

Medicare & Medicaid Participant SinceJune 1, 1994

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

1/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

1/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 1.78 · LPN 1.3 · RN 0.31

3.39 hrs per resident per day

Weekend Nurse Staffing

2.94 hrs per resident per day

Physical Therapist Staffing

0.01 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

46.8%

Registered Nurse Turnover

50%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

1 totaling $3,250.00

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Leave this field empty

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PHILLIP SCOTT ROSS P.T.

Physical Therapist