Geriatricare, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

APN6094 Issued in TN

Legal business name

GERIATRICARE, LLC

Practice address

3641 Memorial Blvd
Kingsport, TN 37664-3422

Phone

(423) 246-2411

Fax

(423) 246-8997

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Linda S Quillen, GNP

Title

Owner

Phone

(423) 677-2222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1194973073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 DORA ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376651016",
            "telephone_number": "423-677-2222",
            "fax_number": "423-246-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 MEMORIAL BLVD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643422",
            "telephone_number": "423-246-2411",
            "fax_number": "423-246-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "QUILLEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-677-2222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "GNP"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "APN6094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3902189",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Patrick Geaslin, CRNA
• Robert Geer, M.D.
• Linda Carson Gemayel, M.S.
• Richard Gendron, MD
• Genoa Healthcare LLC
• Karah Ashley Germroth, LMSW
• GG Allen Enterprises
• GG Allen Enterprises
• Joseph Ghammashi, LPC-MHSP
• Andrea Lauren Gianniny, M.S. CCC-SLP

• Nursing Facility/Intermediate Care Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.