215 RICHARDSON WAY OPCO, LLC
NPI 1538015201
Skilled Nursing Facility in Maynardville, TN
About 215 Richardson Way Opco, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
215 RICHARDSON WAY OPCO, LLC (NPI 1538015201), doing business as Willow Ridge Post Acute, is a healthcare organization registered as a skilled nursing facility in Maynardville, Tennessee and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Avrohom Tress, Executive Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 44D0659213
215 Richardson Way Opco, LLC Dba Willow Ridge Post Acute · Maynardville, TNOther Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 215 Richardson Way Opco, LLC's NPI number?
The NPI number for 215 Richardson Way Opco, LLC is 1538015201. It was assigned to this organization in the NPPES registry on March 5, 2026. The provider is doing business as Willow Ridge Post Acute.
Where is 215 Richardson Way Opco, LLC located?
215 Richardson Way Opco, LLC is located at 215 Richardson Way, Maynardville, TN 37807. The listed phone number is (323) 928-9445.
What is 215 Richardson Way Opco, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does 215 Richardson Way Opco, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0659213) is associated with this NPI, valid through August 31, 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 215 Richardson Way Opco, LLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.