Bradley County Nursing Home
LBN: Bradley County Nursing Home
Bradley County Nursing Home is an health care organization with primary practice located at 2910 Peerless Rd Nw , Cleveland TN 37312-3742. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty.
Bradley County Nursing Home can be contacted via phone (423) 472-7116, or through Newcomb, Joseph H via phone (423) 472-7116.
Contact Information
Primary practice address
2910 Peerless Rd Nw
Cleveland TN 37312-3742
Phone: (423) 472-7116
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X |
Profile Details
| NPI number | 1801884010 |
|---|---|
| LBN Legal business name | Bradley County Nursing Home |
| DBA Doing business as | |
| Authorized official | Newcomb, Joseph H |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Dec 1st, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801884010 | NPPES |
| Tennessee | Other | 0345040001 | DEMERC/PALMETTO |
| Tennessee | MEDICAID | 7440017 | DEMERC/PALMETTO |
| Tennessee | Other | 0345040001 | DEMERC/PALMETTO |
| Tennessee | MEDICAID | 0445141 | DEMERC/PALMETTO |
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