OrganizationActive
Fayetteville Healthcare, LLC
NPI 1659707743 · Skilled Nursing Facility · Fayetteville, TN
Provider details
- NPI number
- 1659707743
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Johnson, Chief Manager(423) 478-5953
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
4081 Thornton Taylor Pkwy
Fayetteville, TN 37334-2674
Phone: (931) 433-9773
Street-level locationGet directions
Mailing address
4081 Thornton Taylor Pkwy
Fayetteville, TN 37334-2674
Other names (DBA / former)
- Doing business as
- Fayetteville Health and Rehabilitation Center
- Doing business as
- Fayetteville Health and Rehabilitation Center
Registry dates
- Enumerated
- 2013-09-19
- Last updated
- 2019-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.