Signature Healthcare Of South Pittsburg Rehab & Wellness Center

LBN: Lp South Pittsburg Llc
Signature Healthcare Of South Pittsburg Rehab & Wellness Center is an health care organization with primary practice located at 201 E 10Th St , South Pittsburg TN 37380-1497. 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. Lp South Pittsburg Llc can be contacted via phone (423) 837-7981, or through Harrison, John via phone (502) 568-7800.

Contact Information

Primary practice address
201 E 10Th St South Pittsburg TN 37380-1497
Phone: (423) 837-7981
Fax: (423) 837-1814
Website:
Map and Directions
Authorized official contact:
Name: Harrison, John
Phone: (502) 568-7800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 176 Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 176 Tennessee

Profile Details

NPI number 1942490255
LBN Legal business name Lp South Pittsburg Llc
DBA Doing business as Signature Healthcare Of South Pittsburg Rehab & Wellness Center
Authorized official Harrison, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 1st, 2007
Last updated Apr 4th, 2023 - about last year

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 1942490255 NPPES
Tennessee MEDICAID 0445343
Tennessee MEDICAID 7440312

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