Community Care Of Rutherford County, Inc.

LBN: Community Care Of Rutherford County, Inc.
Community Care Of Rutherford County, Inc. is an health care organization with primary practice located at 901East County Farm Rd , Murfreesboro TN 37127-6328. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Community Care Of Rutherford County, Inc. can be contacted via phone (615) 893-2624, or through King, Mark via phone (615) 893-2624.

Contact Information

Primary practice address
901East County Farm Rd Murfreesboro TN 37127-6328
Phone: (615) 893-2624
Fax: (615) 898-7989
Website:
Map and Directions
Authorized official contact:
Name: King, Mark
Phone: (615) 893-2624

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000219 Tennessee
Suppliers / Nursing Facility Supplies 332BN1400X Tennessee
Suppliers / Parenteral & Enteral Nutrition 332BP3500X Tennessee

Profile Details

NPI number 1508866898
LBN Legal business name Community Care Of Rutherford County, Inc.
DBA Doing business as
Authorized official King, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2005
Last updated Nov 26th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508866898 NPPES
Tennessee MEDICAID 7440175
Tennessee MEDICAID 0445406
Tennessee Other 4100484
Tennessee Other 3110468

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