Active NPI
Bethesda Health Care Center LLC
- Skilled Nursing Facility
- Cookeville, TN
National Provider Identifier
1720041411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000189
- 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, LLC
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.
-
- Internal Medicine Physician
- Livingston, TN
- NPI 1356305197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050924000008 | TN | Part a Provider - Skilled Nursing Facility | 5890729230 | Practice locations: Cookeville, TN |
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0379 | TN | |
| Skilled Nursing Facility | 314000000X | 0000000189 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 744-0342 | Medicaid | TN |
Other names 1
NPPES NPI Registry- Resthaven Manor Inc
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.