Edgemon House

LBN: Life Bridges, Inc.
Edgemon House is an health care organization with primary practice located at 209 Kile Lake Road , Cleveland TN 37323. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Life Bridges, Inc. can be contacted via phone (423) 472-5268, or through Queen, Lucas via phone (423) 472-5268.

Contact Information

Primary practice address
209 Kile Lake Road Cleveland TN 37323
Phone: (423) 472-5268
Fax: (423) 479-1492
Website:
Map and Directions
Authorized official contact:
Name: Queen, Lucas
Phone: (423) 472-5268

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1376847251
LBN Legal business name Life Bridges, Inc.
DBA Doing business as Edgemon House
Authorized official Queen, Lucas
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2011
Last updated Mar 13th, 2013 - about 11 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 1376847251 NPPES
Tennessee MEDICAID 3722363

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