Mission Convalescent Home
LBN: Old Folks Mission Center,Inc.
Mission Convalescent Home is an health care organization with primary practice located at 118 Glass St , Jackson TN 38301-4625. 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.
Old Folks Mission Center,Inc. can be contacted via phone (731) 424-2951, or through Cherry, Duane via phone (731) 424-2951.
Contact Information
Primary practice address
118 Glass St
Jackson TN 38301-4625
Phone: (731) 424-2951
Fax: (731) 424-7915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 0000175 | Tennessee |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0445447 | Tennessee |
Profile Details
| NPI number | 1689603755 |
|---|---|
| LBN Legal business name | Old Folks Mission Center,Inc. |
| DBA Doing business as | Mission Convalescent Home |
| Authorized official | Cherry, Duane NHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Feb 8th, 2012 - about 12 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 | 1689603755 | NPPES |
| Tennessee | MEDICAID | 7440140 |
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