Organization Active NPI

Bristol Health Care Investors

Doing business as Bristol Nursing Home

  • Skilled Nursing Facility
  • Bristol, TN
National Provider Identifier
1639120264
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000260 Issued in TN
Legal business name
BRISTOL HEALTH CARE INVESTORS
Doing business as
Bristol Nursing Home
Practice address
261 North St
Bristol, TN 37620-1635
Phone
(423) 764-6151
Fax
(423) 764-6155
NPI assigned
May 16, 2006
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Jeff Cantrell
Title
Cfo
Phone
(423) 478-5953

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0000000260 TN
Skilled Nursing Facility 314000000X 0000000260 TN Primary

Addresses

Primary practice location

261 North St
Bristol, TN 37620-1635

Mailing address

261 North St
Bristol, TN 37620-1635
Phone (423) 764-6151

Other identifiers 1

IdentifierTypeStateIssuer
620792614MedicaidTN

Other names 1

  • Bristol Nursing Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1639120264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 NORTH ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201635",
            "telephone_number": "423-764-6151",
            "fax_number": "423-764-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 NORTH ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201635",
            "telephone_number": "423-764-6151",
            "fax_number": "423-764-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL HEALTH CARE INVESTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-478-5953"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000260",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620792614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.