Christian Care Center of McKenzie LLC
Organization Active NPI Skilled Nursing Facility · MC Kenzie, TN
NPI 1194244772 · NPPES record last updated Jun 22, 2018
Key facts
- NPI
- 1194244772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CHRISTIAN CARE CENTER OF MCKENZIE LLC
- Practice address
- 150 Oak Manor Rd
MC Kenzie, TN 38201 - Phone
- (731) 352-5317
- Fax
- (731) 352-5942
- NPI assigned
- Sep 14, 2017
- Organization subpart
- No
Authorized official
- Name
- Lisa M Cawood Gray
- Title
- Manager, Risk Management
- Phone
- (423) 557-6116
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
150 Oak Manor Rd
MC Kenzie, TN 38201
Mailing address
2020 Northpark Dr Ste 2D
Johnson City, TN 37604-3127
Phone (423) 557-6116
Other providers in MC Kenzie, TN
- Elijah Carpenter
- CCC Medical Equipment, Inc.
- Briana Page Chandler
- Philemon D Chang
- Alice Chapman
- Terry Andrew Colotta
- Grace Cooper
- Cornerstone Health Care of McKenzie, Inc.
- Nikki Crosser
- Patricia Cunningham
All providers in MC Kenzie, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.