Soddy Daisy Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SODDY DAISY HEALTHCARE, LLC

Doing business as

Soddy-Daisy Health Care Center

Practice address

701 Sequoyah Rd
Soddy Daisy, TN 37379-4051

Phone

(423) 332-0060

Fax

(423) 332-0328

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Alice Marie Clark Danks, CPA

Title

VP of Finance

Phone

(423) 308-1845

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Soddy-Daisy Health Care Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy Robert Heisser, MD

  • Family Medicine Physician
  • East Ridge, TN
  • NPI 1689620999
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1689873705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SEQUOYAH RD",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794051",
            "telephone_number": "423-332-0060",
            "fax_number": "423-332-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SEQUOYAH RD",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794051",
            "telephone_number": "423-332-0060",
            "fax_number": "423-332-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SODDY DAISY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CLARK DANKS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440590",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445408",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soddy-Daisy Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deidra Gayle Smith, RN
• Elizabeth Culbreath Smith, MSN, NP-C
• Jaclyn Brooke Smith, RN, CCM
• Juliana Sneed
• Soddy Daisy Family Care
• Soddy Daisy Medical Care
• Soddy Daisy Pediatrics
• Soddy-Daisy TN Opco LLC (Soddy-Daisy Healthcare Center)
• Southeast Eye Specialists, PLLC
• Southeastern Dental Associates of Soddy Daisy

• Skilled Nursing Facility in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.