Red Boiling Springs Tn Opco LLC
NPI 1114571627 · Skilled Nursing Facility · Red Boiling Springs, TN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Red Boiling Springs Tn Opco LLC is a Skilled Nursing Facility organization in Red Boiling Springs, TN (NPI 1114571627).
Provider details
- NPI number
- 1114571627
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mick Vujanovic, Ceo(502) 667-8150
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Palace Healthcare and Rehabilitation Center
Registry dates
- Enumerated
- 2019-08-01
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Frequently asked questions
- What is Red Boiling Springs Tn Opco LLC's NPI number?
- Red Boiling Springs Tn Opco LLC's National Provider Identifier (NPI) is 1114571627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Red Boiling Springs Tn Opco LLC?
- Red Boiling Springs Tn Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Red Boiling Springs Tn Opco LLC located?
- Red Boiling Springs Tn Opco LLC's practice location on file with NPPES is 309 Main St, Red Boiling Springs, TN 37150-2149.
- What is Red Boiling Springs Tn Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Red Boiling Springs Tn Opco LLC is (615) 699-2238.
- Does Red Boiling Springs Tn Opco LLC accept Medicare?
- Red Boiling Springs Tn Opco LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Red Boiling Springs Tn Opco LLC?
- The authorized official listed on Red Boiling Springs Tn Opco LLC's NPPES record is Mick Vujanovic, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Red Boiling Springs Tn Opco LLC's NPI active?
- Yes — Red Boiling Springs Tn Opco LLC's NPI (1114571627) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.