BEECH TREE HEALTH AND REHABILITATION
NPI 1770049504
Skilled Nursing Facility in Jellico, TN

Active since February 18, 2019CLIA 44D0859807 · Waiver
1/5
Overall Rating
240 HOSPITAL LN, JELLICO, TN 37762(423) 784-6626 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2023, Nov 18, 2021, Feb 18, 2019 (3 updates tracked since 2019).

About Beech Tree Health And Rehabilitation NPPES

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

BEECH TREE HEALTH AND REHABILITATION (NPI 1770049504) is a healthcare organization registered as a skilled nursing facility in Jellico, Tennessee and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Herskowitz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770049504
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJELLICO TN OPCO LLC
Location Address240 HOSPITAL LNJellico, TN 37762-4401
Mailing Address2071 Flatbush Ave Ste 12Brooklyn, NY 11234-4340
Organization SubpartNo
Authorized OfficialDavid HerskowitzCeo · (212) 444-1991
Enumeration DateFebruary 18, 2019
Last NPPES UpdateFebruary 7, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
NPI 1770049504 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.

240 HOSPITAL LN, Jellico, TN 37762

Other Names 1

Doing Business AsBeech Tree Health And Rehabilitation

Accepted 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 44D0859807

Jellico Tn Opco LLC Dba Beech Tree Post-Acute And Rehab Center · Jellico, TN
Active · expires Aug 31, 2026
CLIA Number44D0859807
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNovella Brooks
Laboratory Phone(423) 784-6626
Laboratory LocationJellico Tn Opco LLC Dba Beech Tree Post-Acute And Rehab Center240 Hospital Lane, Jellico, TN 37762
CLIA data matches this NPI record on: Address Name 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 Beech Tree Health And Rehabilitation (CMS certification number 445292), from CMS Care Compare.

Beech Tree Health And Rehabilitation

Nursing home · Jellico, TN
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number445292
Certified Beds110 beds100 residents per day on average
Medicare & Medicaid Participant SinceJuly 2, 1992
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
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
645.17
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 1.94 · LPN 0.65 · RN 0.47
3.06 hrs per resident per day
Weekend Nurse Staffing
2.9 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
27.8%
Registered Nurse Turnover
30%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.
Facility-Reported Incidents
4
Substantiated Complaints
3
Infection-Control Citations
0
Fines
1 totaling $213,540.00
Medicare Payment Denials
1
Total Penalties
2
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 2

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

Skilled Nursing Facility
240 HOSPITAL LN
JELLICO, TN 37762
Skilled Nursing Facility
240 HOSPITAL LN
JELLICO, TN 37762

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 Jellico Tn Opco LLC's NPI number?

The NPI number for Jellico Tn Opco LLC is 1770049504. It was assigned to this organization in the NPPES registry on February 18, 2019.

Where is Jellico Tn Opco LLC located?

Jellico Tn Opco LLC is located at 240 Hospital Ln, Jellico, TN 37762. The listed phone number is (423) 784-6626.

What is Jellico Tn Opco LLC's specialty?

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

Does Jellico Tn Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0859807) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jellico Tn Opco LLC a Medicare-certified nursing home?

Yes. Beech Tree Health And Rehabilitation is a Medicare-certified nursing home with 110 certified beds.

What quality rating does Jellico Tn Opco LLC have?

CMS rates Beech Tree Health And Rehabilitation 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 Jellico Tn Opco LLC accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jellico Tn Opco LLC 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 Jellico Tn Opco LLC was last updated on February 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.