Skyline of Dyersburg Healthcare and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SKYLINE OF DYERSBURG HEALTHCARE AND REHABILITATION CENTER, LLC

Doing business as

The Highlands of Dyersburg Health & Rehab

Practice address

350 E Tickle St
Dyersburg, TN 38024-3118

Phone

(731) 285-9710

Fax

(731) 285-9949

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Scott E Brown

Title

Manager

Phone

(770) 754-9660

Specialties & licenses 2

Addresses

Other names 1

• The Highlands of Dyersburg Health & Rehab Doing business as

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1881126969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243118",
            "telephone_number": "731-285-9710",
            "fax_number": "731-285-9949"
        },
        {
            "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",
            "fax_number": "731-285-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE OF DYERSBURG HEALTHCARE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-754-9660"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Highlands of Dyersburg Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Shook, LPN
• Krislyn Sills, DDS
• Dustin Sims
• Jan Allison Sims, FNP
• Zachary Hayden Sims, RN
• Josephine A Slycord, FNP
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• Hunter Curtis Smith, PHARMD
• Kerry Howard Smith, PT
• Wendy Gilton Smith, PT

• Skilled Nursing Facility in Dyersburg, TN
• Providers in Dyersburg, 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 Sep 21, 2017; 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.