ANTIOCH TN OPCO, LLC
NPI 1356133847
Skilled Nursing Facility in Antioch, TN

Active since May 20, 2025CLIA 44D0912525 · Waiver
500 HICKORY HOLLOW TER, ANTIOCH, TN 37013(615) 731-7130 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 3, 2025, May 20, 2025 (2 updates tracked since 2025).

About Antioch Tn Opco, Llc NPPES

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

ANTIOCH TN OPCO, LLC (NPI 1356133847) is a healthcare organization registered as a skilled nursing facility in Antioch, Tennessee and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Max Kenigsberg, Manager, as its authorized official.

NPPES Registry Identity

NPI1356133847
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameANTIOCH TN OPCO, LLC
Location Address500 HICKORY HOLLOW TERAntioch, TN 37013-2115
Mailing Address100 Merrick Rd Ste 418eRockville Centre, NY 11570-4888
Organization SubpartNo
Authorized OfficialMax KenigsbergManager · (646) 649-1258
Enumeration DateMay 20, 2025
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
NPI 1356133847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
500 HICKORY HOLLOW TER, Antioch, TN 37013

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 44D0912525

Antioch Tn Opco, LLC · Antioch, TN
Active · expires Mar 5, 2028
CLIA Number44D0912525
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorArmando Valdomar Santos
Laboratory Phone(615) 731-7130
Laboratory LocationAntioch Tn Opco, LLC500 Hickory Hollow Terrace, Antioch, TN 37013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
500 HICKORY HOLLOW TER
ANTIOCH, TN 37013
Skilled Nursing Facility
500 HICKORY HOLLOW TER
ANTIOCH, TN 37013
Nurse Practitioner (Primary Care)
500 HICKORY HOLLOW TER
ANTIOCH, TN 37013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antioch Tn Opco, LLC's NPI number?

The NPI number for Antioch Tn Opco, LLC is 1356133847. It was assigned to this organization in the NPPES registry on May 20, 2025.

Where is Antioch Tn Opco, LLC located?

Antioch Tn Opco, LLC is located at 500 Hickory Hollow Ter, Antioch, TN 37013. The listed phone number is (615) 731-7130.

What is Antioch Tn Opco, LLC's specialty?

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

Does Antioch Tn Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0912525) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Antioch Tn Opco, LLC was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.