Active NPI
Grace Health Care
- Skilled Nursing Facility
- Jackson, TN
National Provider Identifier
1215488606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- APN0000021900
- Legal business name
- GRACE HEALTH CARE
- Practice address
- 100 Cherrywood PL
Jackson, TN 38305-1741 - Phone
- (731) 668-1900
- Fax
- (731) 664-2175
- NPI assigned
- Oct 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Anahita Meshkani-Mehdian, MSN , FNP-C
- Title
- Family Nurse Practitioner
- Phone
- (731) 695-2165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | APN0000021900 | TN | Primary |
Addresses
Primary practice location
100 Cherrywood PL
Jackson, TN 38305-1741
Mailing address
100 Cherrywood PL
Jackson, TN 38305-1741
Phone (731) 668-1900
National Provider Directory
National Provider Directory- Tax ID family
- Grace Health Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Jackson, TN
- NPI 1184712747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476921600000",
"number": "1215488606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHERRYWOOD PL",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051741",
"telephone_number": "731-668-1900",
"fax_number": "731-664-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHERRYWOOD PL",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051741",
"telephone_number": "731-668-1900",
"fax_number": "731-664-2175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A",
"authorized_official_last_name": "MESHKANI-MEHDIAN",
"authorized_official_first_name": "ANAHITA",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "731-695-2165",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MSN , FNP-C"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "APN0000021900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.