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JEFFERSON COUNTY NURSING HOME
NPI 1982324182
Skilled Nursing Facility in White Pine, TN

Active since August 30, 2022
407 LAURA LEE DR, WHITE PINE, TN 37890(865) 327-4100 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson County Nursing Home NPPES

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

JEFFERSON COUNTY NURSING HOME (NPI 1982324182) is a healthcare organization registered as a skilled nursing facility in White Pine, Tennessee and active in the NPI registry since August 2022. The organization lists Roger Louis Mynatt, Administrator, as its authorized official.

NPPES Registry Identity

NPI1982324182
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJEFFERSON COUNTY NURSING HOME
Location Address407 LAURA LEE DRWhite Pine, TN 37890
Mailing Address914 Industrial Park RdDandridge, TN 37725-4700 · (865) 397-3163 · Fax (865) 397-3333
Phone(865) 327-4100
Organization SubpartYes
Authorized OfficialRoger Louis MynattAdministrator · (865) 397-3163
Enumeration DateAugust 30, 2022
NPPES CertifiedAugust 18, 2022
✔ NPI 1982324182 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.
407 LAURA LEE DR, White Pine, TN 37890
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Other Names 1

Other NameJefferson Park At White Pine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Jefferson Park At White Pine (CMS certification number 445542), from CMS Care Compare.

Jefferson Park At White Pine

Nursing home · White Pine, TN
OwnershipGovernment - County
CMS Certification Number445542
Certified Beds30 beds11 residents per day on average
Medicare & Medicaid Participant SinceOctober 25, 2023
Resident & Family CouncilResident council
Automatic sprinkler system

Staffing & Turnover

Total Nurse Staffing
nurse aide 4.11 · LPN 1.03 · RN 1.22
6.36 hrs per resident per day
Weekend Nurse Staffing
5.94 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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.

JOSHUA KEATHLEY
Occupational Therapist
407 LAURA LEE DR
WHITE PINE, TN 37890
Jefferson County (865) 327-4100
MRS. KATHY BURDICK LANE PT
Physical Therapist (Geriatrics)
407 LAURA LEE DR
WHITE PINE, TN 37890
Jefferson County (865) 327-4100
RAEGAN WILLIS COTA
Occupational Therapy Assistant
407 LAURA LEE DR
WHITE PINE, TN 37890
Jefferson County (865) 327-4100

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 Jefferson County Nursing Home's NPI number?

The NPI number for Jefferson County Nursing Home is 1982324182. It was assigned to this organization in the NPPES registry on August 30, 2022. The provider is also known as Jefferson Park At White Pine.

Where is Jefferson County Nursing Home located?

Jefferson County Nursing Home is located at 407 Laura Lee Dr, White Pine, TN 37890. The listed phone number is (865) 327-4100.

What is Jefferson County Nursing Home's specialty?

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

Is Jefferson County Nursing Home a Medicare-certified nursing home?

Yes. Jefferson Park At White Pine is a Medicare-certified nursing home with 30 certified beds.

What insurance does Jefferson County Nursing Home accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jefferson County Nursing Home 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 Jefferson County Nursing Home was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.