Hohenwald SNF Healthcare LLC

Organization Active NPI Skilled Nursing Facility · Hohenwald, TN

NPI 1073340485 · NPPES record last updated Sep 18, 2024

Key facts

NPI
1073340485
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
HOHENWALD SNF HEALTHCARE LLC
Practice address
119 Kittrell St
Hohenwald, TN 38462-1364
Phone
(931) 796-3233
NPI assigned
Sep 18, 2024
Organization subpart
No

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0857683Hohenwald SNF Healthcare LLC
119 Kittrell Street, Hohenwald, TN 38462
Certificate of waiverAug 31, 2026

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

119 Kittrell St
Hohenwald, TN 38462-1364

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names

  • LEWIS PARK POST ACUTE Doing business as

Other providers in Hohenwald, TN

All providers in Hohenwald, TN · Skilled Nursing Facility in Tennessee

Sources for this page

Verify at the official NPI Registry.