Hidden Acres Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

181 Issued in TN

Legal business name

HIDDEN ACRES HEALTHCARE, LLC

Doing business as

Mt. Pleasant Health & Rehab Center

Practice address

904 Hidden Acres Ave
Mount Pleasant, TN 38474-1039

Phone

(931) 379-5502

NPI assigned

Jan 25, 2016

Last updated

Mar 28, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kenneth C Hart Jr.

Title

Treasurer

Phone

(423) 584-6755

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mt. Pleasant Health & Rehab Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1861859696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 HIDDEN ACRES AVE",
            "city": "MOUNT PLEASANT",
            "state": "TN",
            "postal_code": "384741039",
            "telephone_number": "931-379-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 HIDDEN ACRES AVE",
            "city": "MOUNT PLEASANT",
            "state": "TN",
            "postal_code": "384741039",
            "telephone_number": "931-379-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN ACRES HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "423-584-6755",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028277",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028276",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Pleasant Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt. Pleasant Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Quinton Dickerson IV, PHARM.D
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic, PLLC
• Trever Hawkins
• Charles Vance Hendrickson, DMD
• Mary Houston Hull, NP
• Kinzer Pharmacy, LLC (Kinzer Pharmacy)
• Michael Kinzer, DPH
• Maury Regional Hospital (Mt. Pleasant Primary Care Network)
• Maury Regional Hospital Marshall Medical Center (MRMG Mt. Pleasant)

• Skilled Nursing Facility in Mt Pleasant, TN
• Providers in Mt Pleasant, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.