Covington Care Nursing and Rehabilitation Center LLC

Organization Active NPI Skilled Nursing Facility · Covington, TN

NPI 1861456469 · NPPES record last updated May 3, 2021

Key facts

NPI
1861456469
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
0000000324 (TN)
Legal business name
COVINGTON CARE NURSING AND REHABILITATION CENTER LLC
Practice address
765 Bert Johnston Ave
Covington, TN 38019
Phone
(901) 475-0027
Fax
(901) 475-0081
NPI assigned
Apr 12, 2006
Organization subpart
Yes
Parent organization (as reported)
AMERICAN HEALTH COMPANIES, LLC

Authorized official

Name
Mrs. Robin F Bradley
Title
Secretary
Phone
(615) 595-8383

Practitioners 2

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 324 TN
Skilled Nursing Facility 314000000X 0000000324 TN Yes

Addresses

Primary practice location

765 Bert Johnston Ave
Covington, TN 38019

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
744-0564MedicaidTN

Other providers in Covington, TN

All providers in Covington, TN · Skilled Nursing Facility in Tennessee

Sources for this page

Verify at the official NPI Registry.