FAIRFIELD GLADE OF TENNESSEE, LLC
NPI 1700762572
Skilled Nursing Facility in Crossville, TN

Active since August 15, 2025CLIA 44D2329941 · Waiver
100 SAMARITAN WAY, CROSSVILLE, TN 38558(931) 710-0908 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairfield Glade Of Tennessee, Llc NPPES

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

FAIRFIELD GLADE OF TENNESSEE, LLC (NPI 1700762572) is a healthcare organization registered as a skilled nursing facility in Crossville, Tennessee and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists William B Purvis, President, Liberty Living Managemen, as its authorized official.

NPPES Registry Identity

NPI1700762572
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIRFIELD GLADE OF TENNESSEE, LLC
Location Address100 SAMARITAN WAYCrossville, TN 38558-1401
Mailing Address2334 41st StWilmington, NC 28403-5502
Organization SubpartNo
Authorized OfficialWilliam B PurvisPresident, Liberty Living Managemen · (910) 815-3122
Enumeration DateAugust 15, 2025
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1700762572 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.
100 SAMARITAN WAY, Crossville, TN 38558

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 44D2329941

Fairfield Glade Of Tennessee LLC · Crossville, TN
Active · expires Sep 8, 2027
CLIA Number44D2329941
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorLeslie N. Cook
Laboratory Phone(931) 456-1576
Laboratory LocationFairfield Glade Of Tennessee LLC100 Samaritan Way, Crossville, TN 38558
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
100 SAMARITAN WAY
CROSSVILLE, TN 38558
Physical Medicine & Rehabilitation
100 SAMARITAN WAY
CROSSVILLE, TN 38558

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 Fairfield Glade Of Tennessee, LLC's NPI number?

The NPI number for Fairfield Glade Of Tennessee, LLC is 1700762572. It was assigned to this organization in the NPPES registry on August 15, 2025.

Where is Fairfield Glade Of Tennessee, LLC located?

Fairfield Glade Of Tennessee, LLC is located at 100 Samaritan Way, Crossville, TN 38558. The listed phone number is (931) 710-0908.

What is Fairfield Glade Of Tennessee, LLC's specialty?

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

Does Fairfield Glade Of Tennessee, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2329941) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairfield Glade Of Tennessee, LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.