Crockett County Nursing Home, Inc.

LBN: Crockett County Nursing Home, Inc.
Crockett County Nursing Home, Inc. is an health care organization with primary practice located at 580 West Main Street , Alamo TN 38001-0367. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Crockett County Nursing Home, Inc. can be contacted via phone (731) 696-4541, or through Park, Barbara via phone (731) 696-4541.

Contact Information

Primary practice address
580 West Main Street Alamo TN 38001-0367
Phone: (731) 696-4541
Fax: (731) 696-4948
Website:
Map and Directions
Authorized official contact:
Name: Park, Barbara
Phone: (731) 696-4541

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0000000029 Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1497807119
LBN Legal business name Crockett County Nursing Home, Inc.
DBA Doing business as
Authorized official Park, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 23rd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497807119 NPPES
Tennessee MEDICAID 7440325
Tennessee Other 0445467

Popular Providers