Ivy Hall Nursing Home
LBN: Ivy Hall, Inc
Ivy Hall Nursing Home is an health care organization with primary practice located at 301 S Watauga Ave , Elizabethton TN 37643-3546. 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.
Ivy Hall, Inc can be contacted via phone (423) 542-6512, or through Deloach, Judy Carver via phone (423) 542-6512.
Contact Information
Primary practice address
301 S Watauga Ave
Elizabethton TN 37643-3546
Phone: (423) 542-6512
Fax: (423) 542-9311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 0000000025 | Tennessee |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0000000025 | Tennessee |
Profile Details
| NPI number | 1851362511 |
|---|---|
| LBN Legal business name | Ivy Hall, Inc |
| DBA Doing business as | Ivy Hall Nursing Home |
| Authorized official | Deloach, Judy Carver |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Sep 5th, 2014 - 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 | 1851362511 | NPPES |
| Tennessee | MEDICAID | 7440103 | |
| Tennessee | MEDICAID | 0445469 |
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