Healthcare Provider Details

I. General information

NPI: 1699720565
Provider Name (Legal Business Name): NHC HEALTHCARE-OAKWOOD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 OAKWOOD DR
LEWISBURG TN
37091-3153
US

IV. Provider business mailing address

244 OAKWOOD DR
LEWISBURG TN
37091-3153
US

V. Phone/Fax

Practice location:
  • Phone: 931-359-3563
  • Fax:
Mailing address:
  • Phone: 931-359-3563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number178
License Number StateTN

VIII. Authorized Official

Name: C. SCOTT BIDWELL
Title or Position: MANAGER OF LLC
Credential:
Phone: 931-424-1456