Healthcare Provider Details

I. General information

NPI: 1922140631
Provider Name (Legal Business Name): AMG HEALTHCARE CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 ENON SPRINGS RD E
SMYRNA TN
37167-3011
US

IV. Provider business mailing address

202 ENON SPRINGS RD E
SMYRNA TN
37167-3011
US

V. Phone/Fax

Practice location:
  • Phone: 615-459-5600
  • Fax: 615-459-7223
Mailing address:
  • Phone: 615-459-5600
  • Fax: 615-459-7223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number221
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number221
License Number StateTN

VIII. Authorized Official

Name: MR. RUSSELL O CAUGHRON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 615-459-5600