NPIMap

Organization Active NPI

Hickman Community Health Services

Doing business as Ascension Saint Thomas Hickman Community Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Centerville, TN
National Provider Identifier
1669564803
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0000000132 Issued in TN
Legal business name
HICKMAN COMMUNITY HEALTH SERVICES
Doing business as
Ascension Saint Thomas Hickman Community Nursing Home
Hickman Community Nursing Home
Practice address
135 E Swan St
Centerville, TN 37033-1417
Phone
(931) 729-3513
Fax
(931) 729-4612
NPI assigned
Sep 28, 2006
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Lisa R Davis
Title
Cfo
Phone
(615) 284-6845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0000000132 TN Primary

Addresses

Primary practice location

135 E Swan St
Centerville, TN 37033-1417

Mailing address

135 E Swan St
Centerville, TN 37033-1417
Phone (931) 729-3513

Other identifiers 1

IdentifierTypeStateIssuer
7440462MedicaidTN

Other names 2

  • Ascension Saint Thomas Hickman Community Nursing Home Doing business as
  • Hickman Community Nursing Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Hickman Communi5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1669564803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E SWAN ST",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331417",
            "telephone_number": "931-729-3513",
            "fax_number": "931-729-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E SWAN ST",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331417",
            "telephone_number": "931-729-3513",
            "fax_number": "931-729-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKMAN COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-284-6845"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440462",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Saint Thomas Hickman Community Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hickman Community Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hickman Community Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.