Chester Co Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

41 Issued in TN

Legal business name

CHESTER CO HEALTHCARE, INC.

Doing business as

Chester County Nursing Home

Practice address

412 Juanita Dr
Henderson, TN 38340-1949

Phone

(731) 989-7598

Fax

(731) 989-7994

NPI assigned

Sep 28, 2006

Last updated

Apr 18, 2008By 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

Mahlia J Russell

Title

Secretary/Treasurer

Phone

(731) 989-7598

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHESTER COUNTY NURSING HOME Doing business as

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1902997356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 JUANITA DR",
            "address_2": "P O BOX 223",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401949",
            "telephone_number": "731-989-7598",
            "fax_number": "731-989-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 JUANITA DR",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401949",
            "telephone_number": "731-989-7598",
            "fax_number": "731-989-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER CO HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MAHLIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "731-989-7598"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "41",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440034",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHESTER COUNTY NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• City Drug Store Inc (City Drug Store of Henderson TN Inc)
• Stephanie M Coley, LCSW

• Skilled Nursing Facility in Henderson, TN
• Providers in Henderson, 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 Apr 18, 2008; 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.