Organization Active NPI

Bristol Nursing Home, Inc.-Pharmacy

  • Nursing Facility/Intermediate Care Facility
  • Bristol, TN
National Provider Identifier
1104857622
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0000000375 Issued in TN
Legal business name
BRISTOL NURSING HOME, INC.-PHARMACY
Practice address
261 North Street
Bristol, TN 37620
Phone
(423) 764-6151
Fax
(423) 764-6155
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William D Moneyhun
Title
President-Administrator
Phone
(423) 764-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0000000375 TN Primary

Addresses

Primary practice location

261 North Street
Bristol, TN 37620

Mailing address

261 North St
Bristol, TN 37620-1635
Phone (423) 764-6151

Other names 1

  • Bristol Nursing Home, Inc. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104857622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 NORTH ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201635",
            "telephone_number": "423-764-6151",
            "fax_number": "423-764-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 NORTH STREET",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "423-764-6151",
            "fax_number": "423-764-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL NURSING HOME, INC.-PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONEYHUN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT-ADMINISTRATOR",
        "authorized_official_telephone_number": "423-764-6151"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Nursing Home, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.