East Tennessee Health Care Inc

Organization Active NPI Skilled Nursing Facility · Madisonville, TN

NPI 1306801907 · NPPES record last updated Aug 30, 2018

Key facts

NPI
1306801907
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
0000000186 (TN)
Legal business name
EAST TENNESSEE HEALTH CARE INC
Practice address
465 Isbill Rd
Madisonville, TN 37354
Phone
(423) 442-3990
Fax
(423) 442-4465
NPI assigned
Apr 18, 2006
Organization subpart
Yes
Parent organization (as reported)
AMERICAN HEALTH COMPANIES INC

Authorized official

Name
Ms. Robin F Bradley
Title
Secretary
Phone
(615) 595-8383

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000186 TN Yes

Addresses

Primary practice location

465 Isbill Rd
Madisonville, TN 37354

Mailing address

PO Box 10
Parsons, TN 38363-0010
Phone (731) 847-6343

Other identifiers

IdentifierTypeStateIssuer
744-0417MedicaidTN

Other names

  • Madisonville Manor Inc Former legal business name

Other providers in Madisonville, TN

All providers in Madisonville, TN · Skilled Nursing Facility in Tennessee

Sources for this page

Verify at the official NPI Registry.