Christian Care Center of McKenzie LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 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

Last updated

Jun 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa M Cawood Gray

Title

Manager, Risk Management

Phone

(423) 557-6116

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1194244772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORTHPARK DR STE 2D",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043127",
            "telephone_number": "423-557-6116",
            "fax_number": "423-975-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OAK MANOR RD",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "38201",
            "telephone_number": "731-352-5317",
            "fax_number": "731-352-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE CENTER OF MCKENZIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "CAWOOD GRAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER, RISK MANAGEMENT",
        "authorized_official_telephone_number": "423-557-6116"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Carpenter, FNP
• CCC Medical Equipment, Inc.
• Briana Page Chandler, FNP-C
• Philemon D Chang, M.D.
• Alice Chapman, R.D. L.D.N.
• Terry Andrew Colotta, MD
• Sherry Denise Connell, BCBA
• Grace Cooper, ATC
• Cornerstone Health Care of McKenzie, Inc. (Oak Manor Health Care Center)
• Nikki Crosser, DPT, LAT ATC

• Skilled Nursing Facility in McKenzie, TN
• Providers in McKenzie, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.