Clay County Manor
Organization Active NPI Skilled Nursing Facility · Celina, TN
NPI 1699815399 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1699815399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0000000036 (TN)
- Legal business name
- CLAY COUNTY MANOR
- Practice address
- 120 Pitcock LN
Celina, TN 38551-4058 - Phone
- (931) 243-3139
- Fax
- (931) 243-3169
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Judy Lynn Meadows
- Title
- Office Manager
- Phone
- (931) 243-3139
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000036 | TN | Yes |
Addresses
Primary practice location
120 Pitcock LN
Celina, TN 38551-4058
Mailing address
120 Pitcock LN
Celina, TN 38551-4058
Phone (931) 243-3139
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445445 | Medicaid | TN | |
| 7440454 | Medicaid | TN |
Other providers in Celina, TN
- Kelsie Rayne Bowling
- Brandon Buck
- Heather Bussell
- Greda Cherry
- City of Celina
- Clay County Outpatient Clinic
- April Beth Collins
- Copeland Medical Services
- Ashley Mae Copeland
- Jessie Lee Copeland Jr.
All providers in Celina, 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 Aug 22, 2020. 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.