Dyersburg Nursing and Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000074 Issued in TN

Legal business name

DYERSBURG NURSING AND REHABILITATION LLC

Practice address

1900 Parr Ave
Dyersburg, TN 38024

Phone

(731) 286-1221

Fax

(731) 285-3886

NPI assigned

Apr 17, 2006

Organization subpart

Yes

Parent organization

AMERICAN HEALTH COMPANIES, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Robin F Bradley

Title

Secretary

Phone

(615) 595-8383

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David P Guthrie, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1750375291
  NPD (past)
• Ravinder K Machra, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1457352577
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1467417238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383630010",
            "telephone_number": "731-847-6343",
            "fax_number": "731-847-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PARR AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-286-1221",
            "fax_number": "731-285-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYERSBURG NURSING AND REHABILITATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH COMPANIES, LLC",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-595-8383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0074",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744-0425",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dyersburg Home Care Services LLC (Regional Home Care Dyersburg)
• Dyersburg Hospital Company LLC (Dyersburg Hospital Anesthesia)
• Dyersburg Hospital Corporation (Dyersburg Emergencey Physicians)
• Dyersburg Hospital Corporation (Dyersburg Emergency Physicians)
• Dyersburg Hospital Corporation (Regional Medical Supplies of West Tennessee)
• Dyersburg Practice Management, Inc. (Achieve Medical Weight Loss)
• Dyersburg Radiation Oncology Center, L.L.C. (Cancer Care Center of Dyersburg)
• Dyersburg Surgical Group, Inc.
• Dyersburg Uniform Shoppe
• Elite Dental Care Dyersburg

• Skilled Nursing Facility in Dyersburg, TN
• Providers in Dyersburg, 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 May 3, 2021; 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.