# OAKTREE HEALTH AND REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Christian Care Center of Memphis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922493592
- **Authorized official:** JIMMY R LEWIS (CHIEF MANAGER)
- **Authorized official phone:** (423) 975-5455

## Contact information

- **Practice address:** 6500 KIRBY GATE CV, MEMPHIS, TN 38119-8203
- **Practice address phone:** (901) 752-0772
- **Mailing address:** 2020 NORTHPARK DR, SUITE 2D, JOHNSON CITY, TN 37604-3100
- **Mailing address phone:** (423) 975-5455
- **Mailing address fax:** (423) 975-5405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | TN | — |
| 314000000X | Skilled Nursing Facility | — | TN | Yes |

## Other

- **Enumeration date:** 04/01/2015
- **Last updated:** 08/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Q021686 | — | TN |
| 05 | — | Q021687 | — | TN |