Tri-County Convalescent Home

LBN: Tri-County Convalescent Home
Tri-County Convalescent Home is an health care organization with primary practice located at 409 Park Ave , Adamsville TN 38310-2461. 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. Tri-County Convalescent Home can be contacted via phone (731) 632-3301, or through Pickens, Brenda via phone (731) 632-3301.

Contact Information

Primary practice address
409 Park Ave Adamsville TN 38310-2461
Phone: (731) 632-3301
Fax: (731) 632-4111
Website:
Map and Directions
Authorized official contact:
Name: Pickens, Brenda
Phone: (731) 632-3301

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000167 Tennessee

Profile Details

NPI number 1114920469
LBN Legal business name Tri-County Convalescent Home
DBA Doing business as
Authorized official Pickens, Brenda
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Jul 25th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114920469 NPPES
Tennessee MEDICAID 0445397
Tennessee MEDICAID 7440195

Popular Providers