JEFFERSON CITY HEALTH & REHAB CENTER
NPI 1376614164
Skilled Nursing Facility in Jefferson City, TN

Q: What is Jefferson Operator LLC's NPI number?

The NPI number for Jefferson Operator LLC is 1376614164. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Jefferson City Health & Rehab Center.

Q: What is Jefferson Operator LLC's specialty?

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

Q: What quality rating does Jefferson Operator LLC have?

CMS rates Jefferson City Health And Rehab Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since November 13, 2006CLIA 44D0311442 · Waiver

2/5

Overall Rating

283 W BROADWAY BLVD, JEFFERSON CITY, TN 37760(865) 475-9037(865) 475-5386 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jefferson City Health & Rehab Center NPPES

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

JEFFERSON CITY HEALTH & REHAB CENTER (NPI 1376614164) is a healthcare organization registered as a skilled nursing facility in Jefferson City, Tennessee and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Stacey Paul Rogers, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1376614164

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameJEFFERSON OPERATOR LLC

Location Address283 W BROADWAY BLVDJefferson City, TN 37760-2302

Mailing Address7400 New La Grange Rd, Suite 100Louisville, KY 40222-4870 · (502) 429-8062 · Fax (502) 429-0650

Phone(865) 475-9037

Fax(865) 475-5386

Organization SubpartNo

Authorized OfficialStacey Paul RogersChief Financial Officer · (502) 429-8062

Enumeration DateNovember 13, 2006

Last NPPES UpdateApril 13, 2020

NPPES CertifiedApril 13, 2020

✔ NPI 1376614164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in TN · 137

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.

283 W BROADWAY BLVD, Jefferson City, TN 37760

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Other Names 1

Doing Business AsJefferson City Health & Rehab 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 44D0311442

Jefferson City Health And Rehab Center · Jefferson City, TN

Active · expires Aug 31, 2026

CLIA Number44D0311442

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorKaren Hamrick Rn

Laboratory Phone(865) 475-9037

Laboratory LocationJefferson City Health And Rehab Center283 W Broadway Blvd, Jefferson City, TN 37760

CLIA data matches this NPI record on: Address 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 Jefferson City Health And Rehab Center (CMS certification number 445246), from CMS Care Compare.

Jefferson City Health And Rehab Center

Nursing home · Jefferson City, TN

2/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number445246

Certified Beds170 beds145 residents per day on average

Medicare & Medicaid Participant SinceMarch 5, 1990

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

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

4/5

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 2.02 · LPN 0.59 · RN 0.46

3.07 hrs per resident per day

Weekend Nurse Staffing

2.42 hrs per resident per day

Physical Therapist Staffing

0.05 hrs per resident per day

Nursing Staff Turnover

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

95.3%

Registered Nurse Turnover

84.6%

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

Infection-Control Citations

Fines

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.

Other Providers at the Same Location NPPES 7

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

MR. TIMOTHY WAYNE DAVIS LCSW

Social Worker (Clinical)