Active NPI
Erwin Health Care Associates LTD
Doing business as Erwin Health Care Center
- Skilled Nursing Facility
- Erwin, TN
National Provider Identifier
1063401875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000274
- Legal business name
- ERWIN HEALTH CARE ASSOCIATES LTD
- Doing business as
- Erwin Health Care Center
- Practice address
- 100 Stalling Lane
Erwin, TN 37650 - Phone
- (423) 743-4131
- Fax
- (423) 743-8372
- NPI assigned
- Oct 14, 2005
- Last updated
- Jul 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Bennett
- Title
- Administrator
- Phone
- (423) 743-4131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000274 | TN | Primary |
Addresses
Primary practice location
100 Stalling Lane
Erwin, TN 37650
Mailing address
100 Stalling Lane
Erwin, TN 37650
Phone (423) 743-4131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445291 | Medicaid | TN | |
| 7440413 | Medicaid | TN | |
| 7440421 | Medicaid | TN |
Other names 1
- Erwin Health Care Center
National Provider Directory
National Provider DirectoryLocations
100 Stalling Ln
Erwin, TN 37650
Phone (423) 743-4131
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Erwin, TN
- NPI 1609829241
-
- General Practice Physician
- Johnson City, TN
- NPI 1003057068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752192000000",
"number": "1063401875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 STALLING LANE",
"city": "ERWIN",
"state": "TN",
"postal_code": "37650",
"telephone_number": "423-743-4131",
"fax_number": "423-743-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STALLING LANE",
"city": "ERWIN",
"state": "TN",
"postal_code": "37650",
"telephone_number": "423-743-4131",
"fax_number": "423-743-8372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERWIN HEALTH CARE ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-14",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "423-743-4131"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0000000274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445291",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440413",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440421",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Erwin Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Erwin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.