Healthcare Provider Details

I. General information

NPI: 1477576346
Provider Name (Legal Business Name): BELLS NURSING HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 HERNDON DR
BELLS TN
38006-3654
US

IV. Provider business mailing address

PO BOX 717 260 HERNDON DRIVE
BELLS TN
38006
US

V. Phone/Fax

Practice location:
  • Phone: 731-663-2335
  • Fax: 731-663-2399
Mailing address:
  • Phone: 731-663-2335
  • Fax: 731-663-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number0000000030
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0000000030
License Number StateTN

VIII. Authorized Official

Name: ALLISON SILLS
Title or Position: ADMINISTRATOR
Credential:
Phone: 731-663-2335