Waynesboro Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000278 Issued in TN

Legal business name

WAYNESBORO HEALTHCARE, LLC

Practice address

104 JV Mangubat Dr
Waynesboro, TN 38485-2439

Phone

(931) 722-3641

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth C Hart Jr.

Title

Treasurer

Phone

(423) 584-6755

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Waynesboro Health and Rehabilitation Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harish Veeramachaneni, MD

  • Family Medicine Physician
  • Waynesboro, TN
  • NPI 1821217852
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1235543463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 JV MANGUBAT DR",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852439",
            "telephone_number": "931-722-3641",
            "fax_number": "931-722-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JV MANGUBAT DR",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852439",
            "telephone_number": "931-722-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBORO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "423-584-6755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440620",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445518",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waynesboro Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waynesboro Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne Halfway House Inc.
• Wayne Provision
• Waynesboro Clinic, LLC
• Waynesboro Clinic, PC
• Waynesboro Emergency Services II, LLC
• Waynesboro Healthcare, LLC
• Waynesboro Nursing & Rehabilitation Center LLC
• Waynesboro SNF Operations LLC
• Jannakay Elizabeth Weaver, SLP-CCC
• Samuel Preston Welch, NP-C

• Skilled Nursing Facility in Waynesboro, TN
• Providers in Waynesboro, 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 Mar 28, 2019; 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.