Holston Manor

LBN: Holston Nh Operations Llc
Holston Manor is an health care organization with primary practice located at 3641 Memorial Blvd , Kingsport TN 37664-3422. 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. Holston Nh Operations Llc can be contacted via phone (423) 246-2411, or through Nelson, Rhonda B via phone (864) 578-6599.

Contact Information

Primary practice address
3641 Memorial Blvd Kingsport TN 37664-3422
Phone: (423) 246-2411
Fax: (423) 246-8997
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Rhonda B
Phone: (864) 578-6599

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000264 Tennessee

Profile Details

NPI number 1356504393
LBN Legal business name Holston Nh Operations Llc
DBA Doing business as Holston Manor
Authorized official Nelson, Rhonda B
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2008
Last updated May 13th, 2015 - 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 1356504393 NPPES
Tennessee MEDICAID 0445295
Tennessee MEDICAID 7440436

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