Glen Oaks Convalescent Center
Organization Active NPI Skilled Nursing Facility · Shelbyville, TN
NPI 1770538290 · NPPES record last updated Mar 26, 2009
Key facts
- NPI
- 1770538290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0000000007 (TN)
- Legal business name
- GLEN OAKS CONVALESCENT CENTER
- Practice address
- 1101 Glen Oaks Road
Shelbyville, TN 37160 - Phone
- (931) 684-8340
- Fax
- (931) 685-4113
- NPI assigned
- May 23, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- HEALTHCARE MANAGEMENT
Authorized official
- Name
- Mrs. Judy A. Bennett
- Title
- Business Office Manager
- Phone
- (931) 684-8340
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Glen Oaks Convalescent Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000007 | TN | Yes |
Addresses
Primary practice location
1101 Glen Oaks Road
Shelbyville, TN 37160
Mailing address
1101 Glen Oaks Road
Shelbyville, TN 37160
Phone (931) 684-8340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445234A | Medicaid | TN | |
| 74402836 | Medicaid | TN |
Other providers in Shelbyville, TN
- Pamela Gail Gilley
- Sandra Gail Gilliam
- Gilmore Family Dentistry
- John H Gilmore
- John Leander Gilmore
- Glen Oaks Healthcare LLC
- Glen Oaks, LLC
- Glenoaks Rd Healthcare LLC
- Jamie Elise Gonzales
- Jennifer Gray
All providers in Shelbyville, 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 Mar 26, 2009. 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.