MEDICARE: LIFE CARE CENTERS OF AMERICA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	15	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083656615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE CARE CENTERS OF AMERICA, INC.

Provider Business Mailing Address
First Line	:	3001 KEITH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3713
Country	:	US
Telephone Number	:	423-473-5751
Fax Number	:	423-339-8342

Provider Business Practice Location Address
First Line	:	3530 KEITH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-4309
Country	:	US
Telephone Number	:	423-476-3254
Fax Number	:	423-476-5974

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	CINDY S CROSS
Credential	:
Telephone Number	:	423-473-5867

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	09/15/2021

Similar Medicare Providers

1003362633 — JANET LEIGH ZARZOUR FNP-BC
Practice Location Address:

3530 KEITH ST NW
CLEVELAND, TN
37312-4309

Practice Phone: 615-673-6737
Practice Fax: 800-474-4039

1770807919 — LIFE CARE PHYSICIAN SERVICES, LLC
Practice Location Address:

3570 KEITH ST NW
CLEVELAND, TN
37312-4309

Practice Phone: 423-473-5026
Practice Fax: 423-339-8323

1174897888 — PHYSICIAN ONSITE, INC
Practice Location Address:

3570 KEITH ST NW
CLEVELAND, TN
37312-4309

Practice Phone: 423-473-5026
Practice Fax:

1689199168 — DR. VICTOR MORAN DPT, PT
Practice Location Address:

3530 KEITH ST NW
CLEVELAND, TN
37312-4309

Practice Phone: 423-476-3254
Practice Fax:

1790929289 — ALLEN&SHAVER TRANSPORTATION SERVICES
Practice Location Address:

4309 E 126TH ST
CLEVELAND, OH
44105-6307

Practice Phone: 216-339-8104
Practice Fax: 216-883-1492

1689271090 — TYRONE DAKOTA BRININGER PA
Practice Location Address:

3609 PARK EAST DR STE 207
CLEVELAND, OH
44122-4309

Practice Phone: 216-360-0456
Practice Fax:

Directions to “LIFE CARE CENTERS OF AMERICA, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.