Organization Active NPI

Grace Health Care

  • Skilled Nursing Facility
  • Jackson, TN
National Provider Identifier
1215488606
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
APN0000021900 Issued in TN
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

Updated by the provider on Oct 20, 2016

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)CodeLicenseStatePrimary
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 Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.