Sweetwater Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000187 Issued in TN

Legal business name

SWEETWATER NURSING CENTER INC

Practice address

978 Highway 11 South
Sweetwater, TN 37874

Phone

(423) 337-6631

Fax

(423) 337-3801

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Jimmy R Lewis

Title

President

Phone

(423) 975-5455

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Sweetwater Nursing Center Doing business as

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1962486183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 HIGHWAY 11 SOUTH",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "37874",
            "telephone_number": "423-337-6631",
            "fax_number": "423-337-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 HIGHWAY 11 SOUTH",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "37874",
            "telephone_number": "423-337-6631",
            "fax_number": "423-337-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-975-5455"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000187",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440192",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445456",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweetwater Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sweetwater Hospital Association
• Sweetwater Hospital Association
• Sweetwater Hospital Association DME
• Sweetwater Hospital ER Physician Group
• Sweetwater Living, LLC
• Sweetwater Worx LLC
• Syed Amer MD
• Michele Lynn Tate, DO
• Tennessee Cancer Specialists PLLC
• Tennessee Cancer Specialists PLLC

• Skilled Nursing Facility in Sweetwater, TN
• Providers in Sweetwater, 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 Mar 6, 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.