Active NPI
Hermitage Medical Investors, Inc.
Doing business as Hermitage Health Center
- Skilled Nursing Facility
- Elizabethton, TN
National Provider Identifier
1932291887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000314
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77546907 | Other | TN | TPIN |
| 7440541 | Medicaid | TN | |
| 4090129 | Other | TN | BLUE CROSS BLUE SHIELD |
Other names 1
- Hermitage Health Center
National Provider Directory
National Provider DirectoryLocations
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.