Humboldt Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000087 Issued in TN

Legal business name

HUMBOLDT NURSING HOME, INC.

Practice address

3515 Chere Carol Rd
Humboldt, TN 38343-3638

Phone

(731) 784-0545

Fax

(731) 784-0663

NPI assigned

Jul 4, 2006

Organization subpart

No

Name

Mr. Glenda McCartney

Title

Administrator

Phone

(731) 784-0545

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881624815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433638",
            "telephone_number": "731-784-0545",
            "fax_number": "731-784-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433638",
            "telephone_number": "731-784-0545",
            "fax_number": "731-784-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-09-11",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-784-0545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440537",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445441",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Humble Hearts & Hands
• Humboldt Area Rescue Squad/EMS
• Humboldt Family Walk-in Clinic LLC
• Humboldt General Hospital
• Humboldt Healthcare and Rehab Center, LLC
• Bobbi Jean Jackson, PTA
• Jennifer Jo Jackson, CNA
• Jonathan Dale James
• Katherine Elizabeth James, FNP-C
• Kelly Napier Johnston, P.A.-C

• All providers in Humboldt, TN
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.