Organization Active NPI

Knoxville Health Care Center LTD

  • Rehabilitation Clinic/Center
  • Knoxville, TN
National Provider Identifier
1700925252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
KNOXVILLE HEALTH CARE CENTER LTD
Practice address
2120 Highland Ave
Knoxville, TN 37916-1112
Phone
(865) 525-4131
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
R Michael Ussery
Title
Authorized Representative
Phone
(615) 890-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2120 Highland Ave
Knoxville, TN 37916-1112

Mailing address

2120 Highland Ave
Knoxville, TN 37916-1112
Phone (865) 525-4131

Other identifiers 1

IdentifierTypeStateIssuer
4041480OtherPPO

National Provider Directory

National Provider Directory
Tax ID family
Knoxville Health Care Center LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700925252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HIGHLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161112",
            "telephone_number": "865-525-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 HIGHLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161112",
            "telephone_number": "865-525-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE HEALTH CARE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "615-890-2020"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "4041480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.