Organization Active NPI

TN Dyer Op LLC

  • Skilled Nursing Facility
  • Dyersburg, TN
National Provider Identifier
1871058883
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TN DYER OP LLC
Practice address
350 E Tickle St
Dyersburg, TN 38024-3118
Phone
(731) 285-9710
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Chaim Leibowitz
Title
Authorized Official
Phone
(917) 804-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

350 E Tickle St
Dyersburg, TN 38024-3118

Mailing address

548 Cedarwood Dr
Cedarhurst, NY 11516-1010
Phone (901) 804-1661

National Provider Directory

National Provider Directory

Locations

350 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-9710

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1871058883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 CEDARWOOD DR",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161010",
            "telephone_number": "901-804-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243118",
            "telephone_number": "731-285-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN DYER OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-804-1661"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.