=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205852589
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NHC-OP LP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2006
-----------------------------------------------------
Last Update Date | 05/14/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 493 CORNERSVILLE RD
-----------------------------------------------------
City | LEWISBURG
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37091-2787
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 931-359-5300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 493 CORNERSVILLE RD
-----------------------------------------------------
City | LEWISBURG
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37091-2787
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 931-359-5300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SVP
-----------------------------------------------------
Name | ROBERT MICHAEL USSERY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 615-890-2020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------