Unicoi County Nursing Home
LBN: Mountain States Health Alliance
Unicoi County Nursing Home is an health care organization with primary practice located at 100 Greenway Cir , Erwin TN 37650-2177. 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.
Mountain States Health Alliance can be contacted via phone (423) 743-3141, or through Krutak, Mary Lynn via phone (423) 302-3423.
Contact Information
Primary practice address
100 Greenway Cir
Erwin TN 37650-2177
Phone: (423) 743-3141
Fax: (423) 743-1244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1922437466 |
|---|---|
| LBN Legal business name | Mountain States Health Alliance |
| DBA Doing business as | Unicoi County Nursing Home |
| Authorized official | Krutak, Mary Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 5th, 2013 |
| Last updated | Mar 28th, 2018 - about 6 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 | 1922437466 | NPPES |
| Tennessee | Other | 0445077 | MEDICAID SNF |
| Tennessee | Other | 7440197 | MEDICAID SNF |
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