Lakebridge Health Care Center

LBN: Management Care Corporation
Lakebridge Health Care Center is an health care organization with primary practice located at 115 Woodlawn Dr , Johnson City TN 37604-5978. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Management Care Corporation can be contacted via phone (423) 975-0095, or through Lewis, Jimmy R via phone (423) 975-5455.

Contact Information

Primary practice address
115 Woodlawn Dr Johnson City TN 37604-5978
Phone: (423) 975-0095
Fax: (423) 928-0358
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Jimmy R
Phone: (423) 975-5455

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000340 Tennessee

Profile Details

NPI number 1245216910
LBN Legal business name Management Care Corporation
DBA Doing business as Lakebridge Health Care Center
Authorized official Lewis, Jimmy R
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2005
Last updated Aug 22nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245216910 NPPES
Tennessee MEDICAID 7440576
Tennessee MEDICAID 0445358

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