Organization Active NPI

Takoma Hospital & Sanitarium Training School, Inc

  • Skilled Nursing Facility
  • Greeneville, TN
National Provider Identifier
1710906383
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000098 Issued in TN
Legal business name
TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC
Doing business as
Takoma Adventist Hospital
Practice address
401 Takoma Ave
Greeneville, TN 37743-4647
Phone
(423) 639-3151
Fax
(423) 636-2374
NPI assigned
Jul 18, 2006
Organization subpart
Yes
Parent organization
TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Tom Vandenhoven
Title
Cfo
Phone
(423) 636-2376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000098 TN Primary

Addresses

Primary practice location

401 Takoma Ave
Greeneville, TN 37743-4647

Mailing address

401 Takoma Ave
Greeneville, TN 37743-4647
Phone (423) 639-3151

Other identifiers 9

IdentifierTypeStateIssuer
100020449OtherTNTC PREF HEALTH PART MCAID
1000393OtherTNBLUE CROSS
4400050MedicaidTN
A3774401OtherTNJOHN DEERE HEALTH PLAN
1000393OtherTNTC TENNCARE SELECT
A3774301OtherTNMEDICARE MANAGED CARE
A3774401OtherTNTC JOHN DEERE MCAID
440050MedicaidTN
1000393OtherTNTC BLUE CARE

Other names 1

  • Takoma Adventist Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Takoma Hospital3 organizations share this tax ID, including this one
Part of
Takoma Hospital

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1710906383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TAKOMA AVE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434647",
            "telephone_number": "423-639-3151",
            "fax_number": "423-636-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TAKOMA AVE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434647",
            "telephone_number": "423-639-3151",
            "fax_number": "423-636-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "VANDENHOVEN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-636-2376"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TC PREF HEALTH PART MCAID",
            "identifier": "100020449",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000393",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4400050",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH PLAN",
            "identifier": "A3774401",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TC TENNCARE SELECT",
            "identifier": "1000393",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MANAGED CARE",
            "identifier": "A3774301",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TC JOHN DEERE MCAID",
            "identifier": "A3774401",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440050",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TC BLUE CARE",
            "identifier": "1000393",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Takoma Adventist Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.