Active NPI
Dac of Etowah LLC
- Skilled Nursing Facility
- Etowah, TN
National Provider Identifier
1699531491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DAC OF ETOWAH LLC
- Doing business as
- Etowah Health and Rehabilitation
- Practice address
- 409 Grady Rd
Etowah, TN 37331-1903 - Phone
- (423) 263-1138
- NPI assigned
- Feb 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew J. Weishaar
- Title
- Chief Financial Officer & Secretary
- Phone
- (615) 550-9459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
409 Grady Rd
Etowah, TN 37331-1903
Mailing address
730 Cool Springs Blvd Ste 200
Franklin, TN 37067-7290
Phone (615) 550-9453
Other names 1
- Etowah Health and Rehabilitation
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0309509 | Dac of Etowah, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1699531491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 COOL SPRINGS BLVD STE 200",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677290",
"telephone_number": "615-550-9453",
"fax_number": "615-915-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 GRADY RD",
"city": "ETOWAH",
"state": "TN",
"postal_code": "373311903",
"telephone_number": "423-263-1138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAC OF ETOWAH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-28",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "WEISHAAR",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER & SECRETARY",
"authorized_official_telephone_number": "615-550-9459"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Etowah Health and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Etowah, TN
- Beckey Buck
- Lachelle Renee Cardin, COTA/L
- Richard H Cawthorn, PT
- Jennifer Evangeline Clark, PTA
- Timothy James Collins, M.D.
- Doctors Hospital of McMinn County
- Doctors Hospital of McMinn County, LLC
- Doctors Hospital of McMinn County, LLC
- Doctors Hospital of McMinn County, LLC
- Doctors Hospital of McMinn County, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.