Healthcare Provider Details

I. General information

NPI: 1275571689
Provider Name (Legal Business Name): NHC HEALTHCARE-FARRAGUT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CAVETTE HILL LN
KNOXVILLE TN
37934-6673
US

IV. Provider business mailing address

120 CAVETTE HILL LN
KNOXVILLE TN
37934-6673
US

V. Phone/Fax

Practice location:
  • Phone: 865-777-4000
  • Fax:
Mailing address:
  • Phone: 865-777-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number363
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: HOWARD JAY NASON
Title or Position: MANAGER OF LLC
Credential:
Phone: 865-690-9900