Active NPI
Decatur County Health Care and Rehabilitation LLC
- Skilled Nursing Facility
- Parsons, TN
National Provider Identifier
1811952674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000315
- Legal business name
- DECATUR COUNTY HEALTH CARE AND REHABILITATION LLC
- Practice address
- 726 Kentucky Ave S
Parsons, TN 38363 - Phone
- (731) 847-6371
- Fax
- (731) 847-2671
- NPI assigned
- Apr 17, 2006
- Last updated
- Jun 2, 2021
- Organization subpart
- Yes
- Parent organization
- AMERICAN HEALTH COMPANIES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Robin F Bradley
- Title
- Secretary
- Phone
- (615) 595-8383
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0315 | TN | |
| Skilled Nursing Facility | 314000000X | 0000000315 | TN | Primary |
Addresses
Primary practice location
726 Kentucky Ave S
Parsons, TN 38363
Mailing address
PO Box 10
Parsons, TN 38363-0010
Phone (731) 847-6343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 744-0260 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Jackson, TN
- NPI 1104168178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622592000000",
"number": "1811952674",
"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": "726 KENTUCKY AVE S",
"city": "PARSONS",
"state": "TN",
"postal_code": "38363",
"telephone_number": "731-847-6371",
"fax_number": "731-847-2671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECATUR COUNTY HEALTH CARE AND REHABILITATION LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN HEALTH COMPANIES INC",
"enumeration_date": "2006-04-17",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"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": "0315",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0000000315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "744-0260",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parsons, TN
- Decatur County (Decatur County EMS)
- Decatur County Family Practice PC
- Decatur County General Hospital
- Decatur County General Hospital
- Decatur County General Hospital
- Abby Elizabeth Delashmit, PMHNP-BC
- Dickson Medical Associates, PC (Decatur Pulmonary & Sleep Specialist)
- Jacob L Duke
- Trinette Edmondson, RDH
- Family Clinic of Parsons, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.