Waynesboro Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000277 Issued in TN

Legal business name

WAYNESBORO HEALTHCARE, LLC

Doing business as

Wayne Care Nursing Home

Practice address

505 S High St
Waynesboro, TN 38485-2610

Phone

(931) 722-5832

Fax

(931) 722-6522

NPI assigned

Jun 17, 2014

Last updated

Mar 28, 2019By 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

Mr. Kenneth C Hart Jr.

Title

Treasurer

Phone

(423) 584-6755

Specialties & licenses 1

Addresses

Other names 1

• Wayne Care Nursing Home Doing business as

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1992119010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 CENTRAL AVE NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115541",
            "telephone_number": "423-478-5953",
            "fax_number": "423-472-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S HIGH ST",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852610",
            "telephone_number": "931-722-5832",
            "fax_number": "931-722-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBORO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "423-584-6755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Care Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wayne Care Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Samuel Preston Welch, NP-C
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• Skilled Nursing Facility in Waynesboro, TN
• Providers in Waynesboro, 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 28, 2019; 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.