THE WATERS OF JOHNSON CITY LLC
NPI 1841743291
Skilled Nursing Facility in Johnson City, TN

Q: What is The Waters Of Johnson City LLC's NPI number?

The NPI number for The Waters Of Johnson City LLC is 1841743291. It was assigned to this organization in the NPPES registry on August 2, 2016.

Q: What is The Waters Of Johnson City LLC's specialty?

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

Q: What quality rating does The Waters Of Johnson City LLC have?

CMS rates The Waters Of Johnson City, LLC 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since August 02, 2016

4/5

Overall Rating

140 TECHNOLOGY LN, JOHNSON CITY, TN 37604(423) 434-2016(423) 979-0798 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Waters Of Johnson City Llc NPPES

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

THE WATERS OF JOHNSON CITY LLC (NPI 1841743291) is a healthcare organization registered as a skilled nursing facility in Johnson City, Tennessee and active in the NPI registry since August 2016. The organization lists Moishe Gubin, Member, as its authorized official.

NPPES Registry Identity

NPI1841743291

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameTHE WATERS OF JOHNSON CITY LLC

Location Address140 TECHNOLOGY LNJohnson City, TN 37604-2004

Mailing Address140 Technology LnJohnson City, TN 37604-2004 · (423) 434-2016 · Fax (423) 979-0798

Phone(423) 434-2016

Fax(423) 979-0798

Organization SubpartNo

Authorized OfficialMoishe GubinMember · (708) 449-1900

Enumeration DateAugust 2, 2016

✔ NPI 1841743291 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.

140 TECHNOLOGY LN, Johnson City, TN 37604

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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 The Waters Of Johnson City, LLC (CMS certification number 445487), from CMS Care Compare.

The Waters Of Johnson City, LLC

Nursing home · Johnson City, TN

4/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number445487

Certified Beds84 beds64 residents per day on average

Medicare & Medicaid Participant SinceNovember 20, 2007

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

5/5

Long-Stay Quality

Quality of care delivered to long-term residents.

5/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

5/5

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.

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 1.77 · LPN 0.99 · RN 0.47

3.24 hrs per resident per day

Weekend Nurse Staffing

2.87 hrs per resident per day

Physical Therapist Staffing

0.08 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

73.4%

Registered Nurse Turnover

70%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

1 totaling $994.10

Medicare Payment Denials

Total Penalties

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 11

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

ONNIE JOHN CONKIN

Occupational Therapist