COLLIERVILLE HEALTH & REHABILITATION
NPI 1477525905
Skilled Nursing Facility in Collierville, TN

Active since February 07, 2006
490 W POPLAR AVE, COLLIERVILLE, TN 38017(305) 892-1790 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collierville Health & Rehabilitation NPPES

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

COLLIERVILLE HEALTH & REHABILITATION (NPI 1477525905) is a healthcare organization registered as a skilled nursing facility in Collierville, Tennessee and active in the NPI registry since February 2006. The organization lists Theodore M Duay, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1477525905
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFMSC COLLIERVILLE OPERATING COMPANY
Location Address490 W POPLAR AVECollierville, TN 38017-2538
Mailing Address1055 Ne 125th StNorth Miami, FL 33161-5804 · (786) 888-3310
Organization SubpartNo
Authorized OfficialTheodore M DuayChief Financial Officer · (786) 888-3310
Enumeration DateFebruary 7, 2006
Last NPPES UpdateDecember 3, 2009
NPI 1477525905 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 · 314000000
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.
490 W POPLAR AVE, Collierville, TN 38017

Other Names 1

Doing Business AsCollierville Health & Rehabilitation

Other Identifiers 2

Medicaid744-0470TN
Medicare ID-Type Unspecified44-5282TN

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.

Skilled Nursing Facility
490 W POPLAR AVE
COLLIERVILLE, TN 38017
Nurse Practitioner (Family)
490 W POPLAR AVE
COLLIERVILLE, TN 38017
Nurse Practitioner (Family)
490 W POPLAR AVE
COLLIERVILLE, TN 38017
Skilled Nursing Facility
490 W POPLAR AVE
COLLIERVILLE, TN 38017
Nurse Practitioner (Family)
490 W POPLAR AVE
COLLIERVILLE, TN 38017
Skilled Nursing Facility
490 W POPLAR AVE
COLLIERVILLE, TN 38017
Nurse Practitioner (Family)
490 W POPLAR AVE
COLLIERVILLE, TN 38017

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 Fmsc Collierville Operating Company's NPI number?

The NPI number for Fmsc Collierville Operating Company is 1477525905. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Collierville Health & Rehabilitation.

Where is Fmsc Collierville Operating Company located?

Fmsc Collierville Operating Company is located at 490 W Poplar Ave, Collierville, TN 38017. The listed phone number is (305) 892-1790.

What is Fmsc Collierville Operating Company's specialty?

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

When was this NPI record last updated?

The NPPES record for Fmsc Collierville Operating Company was last updated on December 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.