NOTIFICATION OF INTENT TO APPLY
FOR A CERTIFICATE OF NEED
This is to provide official notice to the Health Facilities Commission and all
interested parties, in accordance with T.C.A. §68-11-1601 et seq., and the
Rules of the Health Facilities Commission, that Oneaxis LLC dba Vital Care
of Jackson, TN, a/an Home Health Agency owned by John Paul Palelil with
an ownership type of Limited Liability Company and to be managed by itself
intends to file an application for a Certificate of Need for establishment of a
home care organization and the initiation of home health services limited to
home infusion services. The project will serve a proposed service area of 95
counties: Anderson, Bedford, Benton, Bledsoe, Blount, Bradley, Campbell,
Cannon, Carroll, Carter, Cheatham, Chester, Claiborne, Clay, Cocke, Coffee,
Crockett, Cumberland, Davidson, Decatur, DeKalb, Dickson, Dyer, Fayette,
Fentress, Franklin, Gibson, Giles, Grainger, Greene, Grundy, Hamblen,
Hamilton, Hancock, Hardeman, Hardin, Hawkins, Haywood, Henderson,
Henry, Hickman, Houston, Humphreys, Jackson, Jefferson, Johnson, Knox,
Lauderdale, Lawrence, Lewis, Lincoln, Loudon, Macon, Madison, Marion,
Marshall, Maury, McMinn, McNairy, Meigs, Monroe, Montgomery, Moore,
Morgan, Obion, Overton, Perry, Polk, Putnam, Rhea, Roane, Robertson,
Rutherford, Scott, Sequatchie, Sevier, Shelby, Smith, Stewart, Sullivan, Sumner,
Tipton, Trousdale, Unicoi, Union, Van Buren, Warren, Washington, Wayne,
Weakley, White, Williamson, and Wilson Counties, as well as CON-exempt
Pickett and Lake Counties. The address of the project will be 15 Old Humboldt
Rd, Suite A, Jackson, Madison County, Tennessee, 38305. The estimated
project cost will be $192,000. The anticipated date of filing the application is
11/02/2026. The contact person for this project is John Paul Palelil who may
be reached at Oneaxis LLC dba Vital Care of Jackson - 15 Old Humboldt Rd,
Suite A, Jackson, (Madison County) Tennessee, 38305 – Contact No. 614-
556-2036. The published Letter of Intent must contain the following statement
pursuant to T.C.A. §68-11-1607 (c)(1). (A) Any healthcare institution wishing
to oppose a Certificate of Need application must file a written notice with the
Health Facilities Commission no later than fifteen (15) days before the regularly
scheduled Health Facilities Commission meeting at which the application
is originally scheduled; and (B) Any other person wishing to oppose the
application may file a written objection with the Health Facilities Commission
at or prior to the consideration of the application by the Commission, or may
appear in person to express opposition. Written notice of opposition may be
sent to: Health Facilities Commission, Andrew Jackson Building, 9th Floor, 502
Deaderick Street, Nashville, TN 37243 or email at hsda.staff@tn.gov.
