MEDICARE: NHC-OP LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1030002	OTHER	TN	HEALTH SPRING
2	4105008	OTHER	TN	BCBS PARENT/BRANCH #

General Provider Information

NPI Number	:	1295751360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NHC-OP LP

Provider Business Mailing Address
First Line	:	880 W JACKSON ST STE C
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38501-7135
Country	:	US
Telephone Number	:	931-528-2722
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 W JACKSON ST STE C
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38501-7135
Country	:	US
Telephone Number	:	931-528-2722
Fax Number	:

Authorized Official
Title or Position	:	SVP
Name	:	ROBERT MICHAEL USSERY
Credential	:
Telephone Number	:	615-890-2020

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	05/17/2024

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Directions to “NHC-OP LP ” Practice Location

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