Healthcare Provider Details

I. General information

NPI: 1972440766
Provider Name (Legal Business Name): NHC HEALTHCARE COOKEVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 S WALNUT AVE
COOKEVILLE TN
38501-5956
US

IV. Provider business mailing address

PO BOX 1398
MURFREESBORO TN
37133-1398
US

V. Phone/Fax

Practice location:
  • Phone: 931-528-5516
  • Fax:
Mailing address:
  • Phone: 615-890-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ROBERT MARSHALL USSERY
Title or Position: MANAGER OF LLC
Credential:
Phone: 615-893-2602