Organization Active NPI

NHC-Op, L.P.

  • Home Health Agency
  • Johnson City, TN
National Provider Identifier
1649295437
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
267 Issued in TN
Legal business name
NHC-OP, L.P.
Practice address
109 Whitewood Blvd
Johnson City, TN 37601-1059
Phone
(423) 434-0163
NPI assigned
Jul 13, 2006
Organization subpart
Yes
Parent organization
NATIONAL HEALTHCARE CORPORATIONAs reported in NPPES

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 104

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 104

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Facilities with the same owner 98

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 98

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Home health agency

Medicare Care Compare
Listed as
NHC Homecare Johnson CityCCN 447153
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 22, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000491 TN Part A Provider - Home Health Agency 7719880772 Practice locations: Johnson City, TN

Home health agency certification: CCN 447153

Legal name
NHC-OP LP
Doing business as
NHC HOMECARE JOHNSON CITY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 22, 1978
Last certification
Nov 17, 2017
Ownership / control type
Proprietary
Organization structure
PartnershipProprietary
Incorporated
Dec 16, 1997 in DE
Enrollment address
109 Whitewood Blvd
Johnson City, TN 37601-1059

All disclosed owners & managing parties 5

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert M Ussery Individual Corporate Director Jan 1, 2005
National Health Corporation Organization, Murfreesboro, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 16, 1997
Sharon D Bowman Individual W-2 Managing Employee May 14, 2013
National Healthcare Corporation Organization, Murfreesboro, TN For-profit 5% Or Greater Direct Ownership Interest Dec 16, 1997 99%
NHC/Delaware Inc Organization, Murfreesboro, TN For-profit 5% Or Greater Direct Ownership Interest Dec 16, 1997 1%
General Partnership Interest Dec 16, 1997 1%

All facility ownership & control disclosures 83

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Osage Beach Center for Behavioral HealthOsage Beach, MO, CCN 264031 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 30, 2021
Maryland Heights Center for Behavioral HealthMaryland Heights, MO, CCN 264035 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2022
Knoxville Center for Behavioral MedicineKnoxville, TN, CCN 444031 Hospital 5% Or Greater Direct Ownership Interest (65%) Mar 1, 2022
NHC Place at Cool SpringsFranklin, TN, CCN 445475 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Mar 8, 2000
May 1, 2004
May 4, 2004
NHC Healthcare, LaurensLaurens, SC, CCN 425054 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare KennettKennett, MO, CCN 265168 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Feb 1, 2000
Feb 1, 2000
Holston Health & Rehabilitation CenterKnoxville, TN, CCN 445344 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jan 5, 2008
Jan 5, 2008
Jan 5, 2008
The Health Center at Richland PlaceNashville, TN, CCN 445166 Skilled nursing facility Operational/Managerial Control Jul 1, 1992
NHC Healthcare SpringfieldSpringfield, TN, CCN 445088 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare CharlestonCharleston, SC, CCN 425381 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)
Aug 1, 2008
Aug 1, 2008
Aug 1, 2008
NHC Healthcare, GlasgowGlasgow, KY, CCN 185093 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Jun 1, 2000
Jun 1, 2000
NHC Healthcare, BlufftonBluffton, SC, CCN 425397 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jan 12, 2010
Jan 12, 2010
Jan 12, 2010
NHC Healthcare, GreenvilleGreer, SC, CCN 425322 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, SumterSumter, SC, CCN 425109 Skilled nursing facility Operational/Managerial Control Jan 1, 2018
NHC Healthcare, LawrenceburgLawrenceburg, TN, CCN 445180 Skilled nursing facility Operational/Managerial Control Jan 1, 2018
NHC Healthcare ParklaneColumbia, SC, CCN 425352 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, GreenwoodGreenwood, SC, CCN 425063 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, North AugustaNorth Augusta, SC, CCN 425320 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
Osage Beach Rehabilitation and Health Care CenterOsage Beach, MO, CCN 265171 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Adp of the SNF
Dec 1, 2010
Dec 1, 2010
Springfield Rehabilitation & Health Care CenterSpringfield, MO, CCN 265157 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Adp of the SNF
Dec 1, 2010
Dec 1, 2010
Jan 2, 2024
Macon Health Care CenterMacon, MO, CCN 265163 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2010
Dec 10, 2010
NHC Healthcare, MoultonMoulton, AL, CCN 015128 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Jan 1, 2001
Jan 1, 2001
NHC Healthcare, OakwoodLewisburg, TN, CCN 445002 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, DicksonDickson, TN, CCN 445004 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, ColumbiaColumbia, TN, CCN 445109 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, LexingtonWest Columbia, SC, CCN 425333 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare AndersonAnderson, SC, CCN 425052 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare MilanMilan, TN, CCN 445069 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, AnnistonAnniston, AL, CCN 015120 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Jan 1, 2002
Jan 1, 2002
NHC Healthcare FranklinFranklin, TN, CCN 445127 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, ScottLawrenceburg, TN, CCN 445117 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Heatlhcare, SomervilleSomerville, TN, CCN 445119 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, PulaskiPulaski, TN, CCN 445101 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, St. CharlesSt. Charles, MO, CCN 265166 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Feb 1, 2000
Feb 1, 2000
NHC Healthcare, West PlainsWest Plains, MO, CCN 265155 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Adp of the SNF
Feb 1, 2000
Feb 1, 2000
Feb 1, 2000
NHC Healthcare, JoplinJoplin, MO, CCN 265175 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Feb 1, 2000
Feb 1, 2000
Professional Health ServicesDesloge, MO, CCN 265158 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Feb 1, 2000
Feb 1, 2000
NHC Healthcare, HendersonvilleHendersonville, TN, CCN 445191 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, McMinnvilleMcMinnville, TN, CCN 445076 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare Maryland HeightsMaryland Heights, MO, CCN 265318 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%) Feb 1, 2000
NHC Healthcare, CookevilleGreenville, SC, CCN 425359 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, ClintonClinton, SC, CCN 425071 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, BristolBristol, VA, CCN 495131 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Jan 1, 2001
Jan 1, 2001
NHC Healthcare, ChattanoogaChattanooga, TN, CCN 445013 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare Johnson CityJohnson City, TN, CCN 445024 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Indirect Ownership Interest (1%)
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare KnoxvilleKnoxville, TN, CCN 445098 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare SequatchieDunlap, TN, CCN 445126 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, MurfreesboroMurfreesboro, TN, CCN 445108 Skilled nursing facility Operational/Managerial Control Jan 1, 2018
NHC Healthcare, CookevilleCookeville, TN, CCN 445110 Skilled nursing facility Operational/Managerial Control Jan 1, 2018
NHC Healthcare, Ft. OglethorpeFt. Oglethorpe, GA, CCN 115492 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Limited Partnership Interest (99%)
Operational/Managerial Control
Adp of the SNF
Dec 31, 2009
Dec 31, 2009
Sep 1, 1989
Dec 31, 2009
NHC Healthcare-SmithvilleSmithville, TN, CCN 445116 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare-SpartaSparta, TN, CCN 445130 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
AdamsplaceMurfreesboro, TN, CCN 445392 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, RossvilleRossville, GA, CCN 115104 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
Operational/Managerial Control
Adp of the SNF
Jan 1, 2002
Jan 1, 2002
Jan 1, 2002
NHC Healthcare-FarragutKnoxville, TN, CCN 445415 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jul 1, 2000
Jul 1, 2000
Jul 1, 2000
NHC Healthcare-Garden CityMurrells Inlet, SC, CCN 425324 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Nov 21, 2011
Oct 1, 2001
Oct 1, 2001
NHC Healthcare-AthensAthens, TN, CCN 445099 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Healthcare, Fort SandersKnoxville, TN, CCN 445107 Skilled nursing facility 5% Or Greater Direct Ownership Interest (99%)
General Partnership Interest (99%)
Operational/Managerial Control
Adp of the SNF
Feb 27, 2020
Feb 28, 2020
Feb 28, 2020
Feb 28, 2020
NHC Healthcare, TullahomaTullahoma, TN, CCN 445515 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
May 15, 2013
May 15, 2013
May 13, 2013
NHC Healthcare, KingsportKingsport, TN, CCN 445517 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Oct 1, 2014
Oct 1, 2014
Oct 14, 2014
NHC Place, SumnerGallatin, TN, CCN 445519 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Feb 1, 2015
Feb 1, 2015
May 1, 2015
NHC Healthcare, LewisburgLewisburg, TN, CCN 445094 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2000
Jul 1, 2000
NHC Place at the TraceNashville, TN, CCN 445525 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
May 1, 2016
May 1, 2016
May 1, 2016
NHC-Maury Regional Transitional Care CenterColumbia, TN, CCN 445030 Skilled nursing facility 5% Or Greater Direct Ownership Interest (80%)
Operational/Managerial Control
Adp of the SNF
Jan 1, 2017
Jan 1, 2017
Jan 1, 2017
HeartlandNashville, TN, CCN 445526 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
May 1, 2023
May 1, 2023
May 1, 2023
White Oak Manor - ShelbyShelby, NC, CCN 345171 Skilled nursing facility 5% Or Greater Direct Ownership Interest Aug 1, 2024
White Oak Manor - SpartanburgSpartanburg, SC, CCN 425024 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)
Aug 1, 2024
Aug 1, 2024
White Oak Manor - YorkYork, SC, CCN 425089 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Adp of the SNF
Direct Ownership Interest (100%)
Aug 1, 2024
Aug 1, 2024
Aug 1, 2024
White Oak Manor-CharlestonCharleston, SC, CCN 425128 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Direct Ownership Interest (100%)
Aug 1, 2024
Aug 1, 2024
NHC Homecare-MidlandsWest Columbia, SC, CCN 427302 Home health agency 5% Or Greater Direct Ownership Interest May 1, 2010
NHC Homecare - Low CountryNorth Charleston, SC, CCN 427303 Home health agency 5% Or Greater Direct Ownership Interest (100%) May 1, 2010
NHC Homecare Murrells InletMurrells Inlet, SC, CCN 427124 Home health agency 5% Or Greater Direct Ownership Interest (100%) Sep 12, 2013
Caris HealthcareMurfreesboro, TN, CCN 441584 Hospice 5% Or Greater Direct Ownership Interest (99%)
General Partnership Interest (99%)
Jan 28, 2004
Dec 26, 2024
Caris HealthcareNashville, TN, CCN 441586 Hospice 5% Or Greater Direct Ownership Interest (99%)
General Partnership Interest
Jun 11, 2021
Dec 26, 2024
Caris HealthcareSpringfield, TN, CCN 441594 Hospice 5% Or Greater Direct Ownership Interest
General Partnership Interest (99%)
Dec 31, 2010
Dec 26, 2024
Caris HealthcareChattanooga, TN, CCN 441590 Hospice 5% Or Greater Direct Ownership Interest (99%)
General Partnership Interest (99%)
Aug 4, 2003
Dec 26, 2024
Caris HealthcareKnoxville, TN, CCN 441585 Hospice 5% Or Greater Direct Ownership Interest (99%)
General Partnership Interest (99%)
Dec 31, 2010
Dec 26, 2024
Caris HealthcareBartlett, TN, CCN 441593 Hospice 5% Or Greater Direct Ownership Interest (99%)
General Partnership Interest (99%)
Dec 31, 2010
Dec 26, 2024
Caris Healthcare ColumbiaColumbia, SC, CCN 421584 Hospice 5% Or Greater Indirect Ownership Interest Jan 1, 2012
Caris HealthcareAbingdon, VA, CCN 491601 Hospice General Partnership Interest (99%) Dec 26, 2024
Caris HealthcareSaint Louis, MO, CCN 261655 Hospice 5% Or Greater Indirect Ownership Interest (99%) Jun 11, 2021
Georgia Caris Healthcare LLCRinggold, GA, CCN 111777 Hospice 5% Or Greater Indirect Ownership Interest Jan 1, 2015
Caris HealthcareJohnson City, TN, CCN 441587 Hospice 5% Or Greater Direct Ownership Interest
General Partnership Interest (99%)
Dec 31, 2010
Dec 26, 2024

National Provider Directory

National Provider Directory
Tax ID family
NHC-Op LP35 organizations share this tax ID, including this one
Part of
National Healthcare Corporation

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

109 Whitewood Blvd
Johnson City, TN 37601
Phone (423) 282-1046

1617 W Market St
Ste A
Johnson City, TN 37604
Phone (423) 434-0163

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Robert Michael Ussery
Title
SVP
Phone
(615) 890-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 267 TN Primary

Addresses

Primary practice location

109 Whitewood Blvd
Johnson City, TN 37601-1059

Mailing address

109 Whitewood Blvd
Johnson City, TN 37601-1059
Phone (423) 434-0163

Other identifiers 3

IdentifierTypeStateIssuer
0447153MedicaidTN
4105008OtherTNBCBS
1030119OtherTNHEALTH SPRING

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/Documentsubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2024.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1649295437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WHITEWOOD BLVD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011059",
            "telephone_number": "423-434-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WHITEWOOD BLVD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011059",
            "telephone_number": "423-434-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHC-OP, L.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HEALTHCARE CORPORATION",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "615-890-2020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447153",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4105008",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPRING",
            "identifier": "1030119",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/Documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.6672",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.