Matthew Leroy Griffith, LNHA

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

3905 Issued in TN

Practice address

293 King Rd
Tracy City, TN 37387-4613

Phone

(931) 592-9621

Fax

(931) 592-9622

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tree of Life Residential Care,LLC

  • Assisted Living Facility
  • Tracy City, TN
  • NPI 1649989732
  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1285343541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 JOHNNY STIEFEL RD",
            "city": "SEQUATCHIE",
            "state": "TN",
            "postal_code": "373746158",
            "telephone_number": "931-581-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 KING RD",
            "city": "TRACY CITY",
            "state": "TN",
            "postal_code": "373874613",
            "telephone_number": "931-592-9621",
            "fax_number": "931-592-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "MATTHEW",
        "middle_name": "LEROY",
        "credential": "LNHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "TN",
            "license": "3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "treeoflifellc2022@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "293 King Rd",
            "city": "tracy city",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caresouth HHA Holdings of Winchester LLC
• Tonya L Ellis, FNP-BC
• Grundy County Health Services, Inc. (Tracy Clinic)
• Devon Langley, FNP-C
• Randall Alan Littell, O.D.
• Brandon Derrick Marshall, PHARM.D.
• Michael Yarworth (Mikes Pharmacy)

• Nursing Home Administrator in Tracy City, TN
• Providers in Tracy City, TN by specialty
• Nursing Home Administrator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.