Grace Healthcare Of Cordova

LBN: Cordova Healthcare, Llc
Grace Healthcare Of Cordova is an health care organization with primary practice located at 955 N Germantown Pkwy , Cordova TN 38018-6215. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Cordova Healthcare, Llc can be contacted via phone (901) 754-1393, or through Taylor, Craig D. via phone (423) 308-1845.

Contact Information

Primary practice address
955 N Germantown Pkwy Cordova TN 38018-6215
Phone: (901) 754-1393
Fax: (336) 433-7468
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Craig D.
Phone: (423) 308-1845

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000238 Tennessee

Profile Details

NPI number 1629258546
LBN Legal business name Cordova Healthcare, Llc
DBA Doing business as Grace Healthcare Of Cordova
Authorized official Taylor, Craig D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2007
Last updated Oct 30th, 2014 - about 10 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 1629258546 NPPES
Tennessee MEDICAID 0445218
Tennessee MEDICAID 7440486

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