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GOOD SAMARITAN HEALTH & REHAB CENTER
NPI 1528120458
Skilled Nursing Facility in Antioch, TN

Active since December 15, 2006
1/5
Overall Rating
500 HICKORY HOLLOW TER, ANTIOCH, TN 37013(615) 731-7130(615) 731-0743 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Good Samaritan Health & Rehab Center NPPES

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

GOOD SAMARITAN HEALTH & REHAB CENTER (NPI 1528120458) is a healthcare organization registered as a skilled nursing facility in Antioch, Tennessee and active in the NPI registry since December 2006. The organization lists Celia David Valdomar, President, as its authorized official.

NPPES Registry Identity

NPI1528120458
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEBENEZER HOME OF TENNESSEE, INC.
Location Address500 HICKORY HOLLOW TERAntioch, TN 37013-2115
Mailing Address500 Hickory Hollow TerAntioch, TN 37013-2115 · (615) 731-7130 · Fax (615) 731-0743
Phone(615) 731-7130
Fax(615) 731-0743
Organization SubpartNo
Authorized OfficialCelia David ValdomarPresident · (310) 995-2603
Enumeration DateDecember 15, 2006
Last NPPES UpdateJanuary 8, 2019
✔ NPI 1528120458 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 · 0000000051
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
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Other Names 1

Doing Business AsGood Samaritan Health & Rehab Center

Other Identifiers 2

Medicaid7440473TN
Medicaid0445170TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Good Samaritan Health And Rehab Center (CMS certification number 445170), from CMS Care Compare.

Good Samaritan Health And Rehab Center

Nursing home · Antioch, TN
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number445170
Certified Beds110 beds84 residents per day on average
Medicare & Medicaid Participant SinceJanuary 16, 1985
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.
2/5
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.
164.33
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

Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
56.3%
Registered Nurse Turnover
57.1%
Administrators Who Have Left
In the past year.
4
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
11
Substantiated Complaints
12
Fines
4 totaling $36,706.27
Medicare Payment Denials
0
Total Penalties
4
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 3

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

GEORGE RUCCIO
Social Worker (Clinical)
500 HICKORY HOLLOW TER
ANTIOCH, TN 37013
Davidson County (615) 390-6127
ANTIOCH TN OPCO, LLC
Skilled Nursing Facility
500 HICKORY HOLLOW TER
ANTIOCH, TN 37013
Davidson County (615) 731-7130
ALESE DENAE MCCLELLAND NP
Nurse Practitioner (Primary Care)
500 HICKORY HOLLOW TER
ANTIOCH, TN 37013
Davidson County (615) 440-7385

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 Ebenezer Home Of Tennessee, Inc.'s NPI number?

The NPI number for Ebenezer Home Of Tennessee, Inc. is 1528120458. It was assigned to this organization in the NPPES registry on December 15, 2006. The provider is doing business as Good Samaritan Health & Rehab Center.

Where is Ebenezer Home Of Tennessee, Inc. located?

Ebenezer Home Of Tennessee, Inc. is located at 500 Hickory Hollow Ter, Antioch, TN 37013. The listed phone number is (615) 731-7130.

What is Ebenezer Home Of Tennessee, Inc.'s specialty?

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

Is Ebenezer Home Of Tennessee, Inc. a Medicare-certified nursing home?

Yes. Good Samaritan Health And Rehab Center is a Medicare-certified nursing home with 110 certified beds.

What quality rating does Ebenezer Home Of Tennessee, Inc. have?

CMS rates Good Samaritan Health And Rehab Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Ebenezer Home Of Tennessee, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Ebenezer Home Of Tennessee, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebenezer Home Of Tennessee, Inc. was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.