Organization Active NPI

Bethesda Health Care Center LLC

  • Skilled Nursing Facility
  • Cookeville, TN
National Provider Identifier
1720041411
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000189 Issued in TN
Legal business name
BETHESDA HEALTH CARE CENTER LLC
Practice address
444 One Eleven PL
Cookeville, TN 38506
Phone
(931) 525-6655
Fax
(931) 525-3581
NPI assigned
Apr 11, 2006
Organization subpart
Yes
Parent organization
AMERICAN HEALTH COMPANIES, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Ms. Robin F Bradley
Title
Secretary
Phone
(615) 595-8383

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050924000008 TN Part a Provider - Skilled Nursing Facility 5890729230 Practice locations: Cookeville, TN

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0379 TN
Skilled Nursing Facility 314000000X 0000000189 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

444 One Eleven PL
Cookeville, TN 38506

Mailing address

PO Box 10
Parsons, TN 38363-0010
Phone (731) 847-6343

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
744-0342MedicaidTN

Other names 1

NPPES NPI Registry
  • Resthaven Manor Inc Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2021.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1720041411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383630010",
            "telephone_number": "731-847-6343",
            "fax_number": "731-847-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ONE ELEVEN PL",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38506",
            "telephone_number": "931-525-6655",
            "fax_number": "931-525-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HEALTH CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH COMPANIES, LLC",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-595-8383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0379",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744-0342",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resthaven Manor Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Resthaven Manor Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.