Healthcare Provider Details

I. General information

NPI: 1023150380
Provider Name (Legal Business Name): SEVIER COUNTY HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 12/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 CATLETT RD
SEVIERVILLE TN
37862-5901
US

IV. Provider business mailing address

415 CATLETT RD
SEVIERVILLE TN
37862-5901
US

V. Phone/Fax

Practice location:
  • Phone: 865-453-4747
  • Fax: 865-453-7148
Mailing address:
  • Phone: 865-453-4747
  • Fax: 865-453-7148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number229
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number229
License Number StateTN

VIII. Authorized Official

Name: MR. BRYAN C ATCHLEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 865-453-4747