Healthcare Provider Details

I. General information

NPI: 1245277110
Provider Name (Legal Business Name): NHC HEALTHCARE-SMITHVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 03/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 FISHER AVE
SMITHVILLE TN
37166-2140
US

IV. Provider business mailing address

825 FISHER AVE
SMITHVILLE TN
37166-2140
US

V. Phone/Fax

Practice location:
  • Phone: 615-597-4284
  • Fax:
Mailing address:
  • Phone: 615-597-4284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number071
License Number StateTN

VIII. Authorized Official

Name: GREGORY G BIDWELL
Title or Position: MANAGER OF LLC
Credential:
Phone: 615-893-2602