Shannondale Health Care Center

LBN: Presbyterian Homes Of Tennessee, Inc.
Shannondale Health Care Center is an health care organization with primary practice located at 801 Vanosdale Rd , Knoxville TN 37909-2497. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Long Term Care Pharmacy. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Presbyterian Homes Of Tennessee, Inc. can be contacted via phone (865) 690-3411, or through Taylor, Todd K via phone (865) 690-3411.

Contact Information

Primary practice address
801 Vanosdale Rd Knoxville TN 37909-2497
Phone: (865) 690-3411
Fax: (865) 691-3099
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Todd K
Phone: (865) 690-3411

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000150 Tennessee
Suppliers / Long Term Care Pharmacy 3336L0003X 1295 Tennessee

Profile Details

NPI number 1316944887
LBN Legal business name Presbyterian Homes Of Tennessee, Inc.
DBA Doing business as Shannondale Health Care Center
Authorized official Taylor, Todd K
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 13th, 2015 - about 9 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 1316944887 NPPES
Other 4407967 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 0445105 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 7440166 NCPDP PROVIDER IDENTIFICATION NUMBER

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