Active NPI
Life Care Centers of America, Inc.
- Skilled Nursing Facility
- Hixson, TN
National Provider Identifier
1629009667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 104
- Legal business name
- LIFE CARE CENTERS OF AMERICA, INC.
- Practice address
- 5798 Hixson Home PL
Hixson, TN 37343-0000 - Phone
- (423) 622-4301
- Fax
- (423) 622-1331
- NPI assigned
- Jul 6, 2006
- 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
- Cindy S. Cross
- Title
- Assistant Secretary
- Phone
- (423) 473-5867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 104 | TN | Primary |
Addresses
Primary practice location
5798 Hixson Home PL
Hixson, TN 37343-0000
Mailing address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440419 | Medicaid | TN |
Other names 1
- Life Care Center of Hixson
National Provider Directory
National Provider Directory- Tax ID family
- Life Care Center of Hixson
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Hixson, TN
- NPI 1255791588
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631664000000",
"number": "1629009667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 KEITH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123713",
"telephone_number": "423-473-5751",
"fax_number": "423-339-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5798 HIXSON HOME PL",
"city": "HIXSON",
"state": "TN",
"postal_code": "373430000",
"telephone_number": "423-622-4301",
"fax_number": "423-622-1331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CARE CENTERS OF AMERICA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A",
"authorized_official_last_name": "CROSS",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "423-473-5867"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440419",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Care Center of Hixson",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.