Bradley County Nursing Home

LBN: Bradley County Nursing Home
Bradley County Nursing Home is an health care organization with primary practice located at 2910 Peerless Rd Nw , Cleveland TN 37312-3742. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Bradley County Nursing Home can be contacted via phone (423) 472-7116, or through Newcomb, Joseph H via phone (423) 472-7116.

Contact Information

Primary practice address
2910 Peerless Rd Nw Cleveland TN 37312-3742
Phone: (423) 472-7116
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Newcomb, Joseph H
Phone: (423) 472-7116

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1801884010
LBN Legal business name Bradley County Nursing Home
DBA Doing business as
Authorized official Newcomb, Joseph H
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Dec 1st, 2010 - about 16 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 1801884010 NPPES
Tennessee Other 0345040001 DEMERC/PALMETTO
Tennessee MEDICAID 7440017 DEMERC/PALMETTO
Tennessee Other 0345040001 DEMERC/PALMETTO
Tennessee MEDICAID 0445141 DEMERC/PALMETTO

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