Hickman Community Nursing Home

LBN: Hickman Community Health Services
Hickman Community Nursing Home is an health care organization with primary practice located at 135 E Swan St , Centerville TN 37033-1417. 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. Hickman Community Health Services can be contacted via phone (931) 729-3513, or through Davis, Lisa R via phone (615) 284-6845.

Contact Information

Primary practice address
135 E Swan St Centerville TN 37033-1417
Fax: (931) 729-4612
Website:
Authorized official contact:
Name: Davis, Lisa R

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0000000132 Tennessee

Profile Details

NPI number 1669564803
LBN Legal business name Hickman Community Health Services
DBA Doing business as Hickman Community Nursing Home
Authorized official Davis, Lisa R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669564803 NPPES
Tennessee MEDICAID 7440462

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