Dickson Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000072 Issued in TN

Legal business name

DICKSON HEALTHCARE LLC

Practice address

Dickson Healthcare Center
901 North Charlotte Street
Dickson, TN 37055

Phone

(615) 446-8150

Fax

(615) 446-7082

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Tygh Brogdon

Title

Manager

Phone

(770) 650-8773

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1235292871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 HEMBREE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761122",
            "telephone_number": "770-650-8773",
            "fax_number": "770-650-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DICKSON HEALTHCARE CENTER",
            "address_2": "901 NORTH CHARLOTTE STREET",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "37055",
            "telephone_number": "615-446-8150",
            "fax_number": "615-446-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "TYGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-650-8773"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445477",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dickson Community Clinic, Inc.
• Dickson County Office of County Mayor
• Dickson County Schools
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• Dickson Healthcare and Rehab LLC
• Dickson Jaw & Facial Surgery
• Dickson Medical Associate, PC
• Dickson Medical Associates PC
• Dickson Medical Associates PC
• Dickson Medical Associates PC

• Skilled Nursing Facility in Dickson, TN
• Providers in Dickson, 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 Sep 29, 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.