J. Park & Son, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0000000120 Issued in TN

Legal business name

J. PARK & SON, INC.

Practice address

1620 Wayne Rd
Savannah, TN 38372-1548

Phone

(731) 925-4004

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By 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

Ms. Jo Park

Title

Manager

Phone

(731) 925-4004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hardin Home Nursing Home Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph A Peters, M.D.

  • Family Medicine Physician
  • Counce, TN
  • NPI 1225058407
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942340229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 WAYNE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383721548",
            "telephone_number": "731-925-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 WAYNE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383721548",
            "telephone_number": "731-925-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. PARK & SON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "731-925-4004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440328",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hardin Home Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayli Anne Hurst, DPM
• Leslie Hurst, RN
• Robert Darrin Hurst, D.P.M.
• Independent Physical Therapy LLC
• Samantha Jo Ivy, APRN
• Jabbok Health Center, LLC
• Jabbok Treatment Center, LLC.
• Melissa Jackson
• Rhonda Jaco, B.S.
• Abby Elizabeth Jerrolds, NP

• Nursing Facility/Intermediate Care Facility in Savannah, TN
• Providers in Savannah, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.