Organization Active NPI

Hermitage Medical Investors, Inc.

Doing business as Hermitage Health Center

  • Skilled Nursing Facility
  • Elizabethton, TN
National Provider Identifier
1932291887
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000314 Issued in TN
Legal business name
HERMITAGE MEDICAL INVESTORS, INC.
Doing business as
Hermitage Health Center
Practice address
1633 Hillview Dr
Elizabethton, TN 37643-4115
Phone
(423) 543-2571
Fax
(423) 543-8533
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Mrs. Jeannie Barker
Title
Administrator
Phone
(423) 543-2571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000314 TN Primary

Addresses

Primary practice location

1633 Hillview Dr
Elizabethton, TN 37643-4115

Mailing address

1633 Hillview Dr
Elizabethton, TN 37643-4115
Phone (423) 543-2571

Other identifiers 3

IdentifierTypeStateIssuer
77546907OtherTNTPIN
7440541MedicaidTN
4090129OtherTNBLUE CROSS BLUE SHIELD

Other names 1

  • Hermitage Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

1633 Hillview Dr
Elizabethton, TN 37643
Phone (423) 543-2571

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1932291887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 HILLVIEW DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434115",
            "telephone_number": "423-543-2571",
            "fax_number": "423-543-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 HILLVIEW DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434115",
            "telephone_number": "423-543-2571",
            "fax_number": "423-543-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE MEDICAL INVESTORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-543-2571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPIN",
            "identifier": "77546907",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440541",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4090129",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermitage Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethton, TN

Sources for this page

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