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

Raven Lake Healthcare, Inc

Organization Skilled Nursing Facility · NPI 1285408401

Raven Lake Healthcare, Inc is a Skilled Nursing Facility in Harrogate, Tennessee. Medicare rates this nursing home 1 out of 5. Registered with an NPI since 2023.

CMS rating
1 of 5
In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 445263)
Health inspection1.0 / 5
Staffing2.0 / 5
Quality measures3.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

600 Shawanee Rd
Harrogate, TN 37752-8305
Phone: (423) 869-5376
Fax: (423) 869-4107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1285408401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Burnam — Treasurer · (949) 540-1249
Other names Tristate Health And Rehabilitation Center
NPI enumeratedNovember 8, 2023
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address600 Shawanee Rd, Harrogate, TN 37752-8305

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