Organization Active NPI

A&E Healthcare

  • Skilled Nursing Facility
  • Jellico, TN
National Provider Identifier
1457493678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000017 Issued in TN
Legal business name
A&E HEALTHCARE
Practice address
240 Hospital LN
Jellico, TN 37762-4401
Phone
(423) 784-6626
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Parker
Title
VP, Finance
Phone
(904) 477-1678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000017 TN Primary

Addresses

Primary practice location

240 Hospital LN
Jellico, TN 37762-4401

Mailing address

PO Box 300
Jellico, TN 37762-0300
Phone (423) 784-6626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457493678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377620300",
            "telephone_number": "423-784-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL LN",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377624401",
            "telephone_number": "423-784-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&E HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "904-477-1678"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jellico, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.