Active NPI
National Assistance Bureau, Inc.
Doing business as Reelfoot Manor
- Skilled Nursing Facility
- Tiptonville, TN
National Provider Identifier
1609942309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000151
- Legal business name
- NATIONAL ASSISTANCE BUREAU, INC.
- Doing business as
- Reelfoot Manor
- Practice address
- 1034 Reelfoot St
Tiptonville, TN 38079-1607 - Phone
- (731) 253-6681
- Fax
- (731) 253-8014
- NPI assigned
- Nov 27, 2006
- Last updated
- Sep 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tygh A Brogdon
- Title
- Manager
- Phone
- (770) 650-8773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000151 | TN | Primary |
Addresses
Primary practice location
1034 Reelfoot St
Tiptonville, TN 38079-1607
Mailing address
1145 Hembree Rd
Roswell, GA 30076-1122
Phone (770) 650-8773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445285 | Medicaid | TN |
Other names 1
- Reelfoot Manor
National Provider Directory
National Provider Directory- Tax ID family
- National Assistance Bureau Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Gallaway Healthcare Center
- Skilled Nursing Facility
- Gallaway, TN
- NPI 1255494894
-
dba Westside Care Center
- Skilled Nursing Facility
- West Frankfort, IL
- NPI 1437212016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1609942309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 HEMBREE RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761122",
"telephone_number": "770-650-8773",
"fax_number": "770-650-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 REELFOOT ST",
"city": "TIPTONVILLE",
"state": "TN",
"postal_code": "380791607",
"telephone_number": "731-253-6681",
"fax_number": "731-253-8014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL ASSISTANCE BUREAU, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "BROGDON",
"authorized_official_first_name": "TYGH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "770-650-8773"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0000000151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445285",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Reelfoot Manor",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tiptonville, TN
- Main Street Family Care PLLC
- Valerie Cagle Makin, RN
- John Mancell, PHARM D
- James Francis McCallen III, D.D.S.
- Erle Ridley Mulherin III, PHARMACIST
- Patricia Catherine Poteet, RN
- Kortney Dewayne Powell, DMD
- Reelfoot Healthcare and Rehab LLC (Reelfoot Manor Health and Rehab)
- Reelfoot Operator LLC (Reelfoot Manor Health and Rehab)
- Donna Roberson Rike, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.