Humboldt Acquisition Corp
LBN: Humboldt Healthcare And Rehab Center, Llc
Humboldt Acquisition Corp is an health care organization with primary practice located at 2031 Avondale St , Humboldt TN 38343. 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 / Skilled Nursing Facility is the primary health care specialty.
Humboldt Healthcare And Rehab Center, Llc can be contacted via phone (731) 784-3655, or through Bradley, Robin F via phone (615) 595-8383.
Contact Information
Primary practice address
2031 Avondale St
Humboldt TN 38343
Phone: (731) 784-3655
Fax: (731) 784-3651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 0086 | Tennessee |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0000000190 | Tennessee |
Profile Details
| NPI number | 1043275639 |
|---|---|
| LBN Legal business name | Humboldt Healthcare And Rehab Center, Llc |
| DBA Doing business as | Humboldt Acquisition Corp |
| Authorized official | Bradley, Robin F |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | May 3rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043275639 | NPPES |
| Tennessee | MEDICAID | 744-0531 |
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