Life Care Centers of America, Inc.
Organization Active NPI Skilled Nursing Facility · East Ridge, TN
NPI 1649201666 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1649201666
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 107 (TN)
- Legal business name
- LIFE CARE CENTERS OF AMERICA, INC.
- Practice address
- 1500 Fincher Ave
East Ridge, TN 37412-4204 - Phone
- (423) 894-1254
- Fax
- (423) 499-8616
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy S. Cross
- Title
- Assistant Secretary
- Phone
- (423) 473-5867
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 107 | TN | Yes |
Addresses
Primary practice location
1500 Fincher Ave
East Ridge, TN 37412-4204
Mailing address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440246 | Medicaid | TN |
Other names
- Life Care Center of East Ridge
Other providers in East Ridge, TN
- Christina Eunan Kang
- Khodiyar Health LLC
- Joan Elizabeth Kramer
- Amy Dawn Latham
- Marcile Helen Leaf
- Mary Christy Lipscomb
- Tami Lyn Lloyd
- Caroline A Lolay
- Loving Hands Caregiver
- Laura Andrei Martin
All providers in East Ridge, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.