Jellico Tn Opco LLC
NPI 1770049504 · Skilled Nursing Facility · Jellico, TN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jellico Tn Opco LLC is a Skilled Nursing Facility organization in Jellico, TN (NPI 1770049504).
Provider details
- NPI number
- 1770049504
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Herskowitz, Ceo(212) 444-1991
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- Beech Tree Health and Rehabilitation
- Doing business as
- Beech Tree Health and Rehabilitation
Registry dates
- Enumerated
- 2019-02-18
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Frequently asked questions
- What is Jellico Tn Opco LLC's NPI number?
- Jellico Tn Opco LLC's National Provider Identifier (NPI) is 1770049504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jellico Tn Opco LLC?
- Jellico Tn Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Jellico Tn Opco LLC located?
- Jellico Tn Opco LLC's practice location on file with NPPES is 240 Hospital Ln, Jellico, TN 37762-4401.
- What is Jellico Tn Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Jellico Tn Opco LLC is (423) 784-6626.
- Does Jellico Tn Opco LLC accept Medicare?
- Jellico 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 Jellico Tn Opco LLC?
- The authorized official listed on Jellico Tn Opco LLC's NPPES record is David Herskowitz, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jellico Tn Opco LLC's NPI active?
- Yes — Jellico Tn Opco LLC's NPI (1770049504) is active in the NPPES registry as of the last update on 2023-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.