Palmyra TN Opco LLC
Organization Active NPI Skilled Nursing Facility · Palmyra, TN
NPI 1356835607 · NPPES record last updated Feb 7, 2023
Key facts
- NPI
- 1356835607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- PALMYRA TN OPCO LLC
- Practice address
- 2727 Palmyra Rd
Palmyra, TN 37142 - Phone
- (931) 326-5252
- NPI assigned
- Jun 20, 2018
- Organization subpart
- No
Authorized official
- Name
- David Herskowitz
- Title
- Ceo
- Phone
- (212) 444-1991
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2727 Palmyra Rd
Palmyra, TN 37142
Mailing address
2071 Flatbush Ave Ste 12
Brooklyn, NY 11234-4340
Phone (212) 390-1054
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TN |
Other names
- Palmyra Health and Rehabilitation
Other providers in Palmyra, TN
- Cornerstone Health Care of Palmyra, Inc.
- Christine Nicole Fain
- Ha-Anh Lamont
- Tabitha Spencer
- Willow Grove Recovery LLC
All providers in Palmyra, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.