Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jellico Tn Opco LLC

Organization Skilled Nursing Facility · NPI 1770049504

Jellico Tn Opco LLC is a Skilled Nursing Facility in Jellico, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

240 Hospital Ln
Jellico, TN 37762-4401
Phone: (423) 784-6626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1770049504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Herskowitz — Ceo · (212) 444-1991
Other names Beech Tree Health And Rehabilitation; Beech Tree Health And Rehabilitation
NPI enumeratedFebruary 18, 2019
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address2071 Flatbush Ave Ste 12, Brooklyn, NY 11234-4340

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