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NPI Code Detail

MEDICARE: NHC HEALTHCARE-KNOXVILLE LLC

MEDICARE: NHC HEALTHCARE-KNOXVILLE LLC
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
1314000000XSkilled Nursing Facility146TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31000635OTHERTNBCBS
4702010410OTHERCARITEN

General Provider Information

NPI Number : 1750306759
Entity Type Code : Organization
Provider Name (Legal Business Name) : NHC HEALTHCARE-KNOXVILLE LLC
Provider Business Mailing Address
First Line : 809 E EMERALD AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5550
Country : US
Telephone Number : 865-524-7366
Fax Number :
Provider Business Practice Location Address
First Line : 809 E EMERALD AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5550
Country : US
Telephone Number : 865-524-7366
Fax Number :
Authorized Official
Title or Position : MANAGER OF LLC
Name : HOWARD JAY NASON JR.
Credential :
Telephone Number : 865-690-9900
Provider Enumeration Date : 07/12/2006
Last Update Date : 06/03/2016

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Practice Location Address:
809 E EMERALD AVE
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37917-5550
Practice Phone: 865-524-7366
Practice Fax:

Directions to “NHC HEALTHCARE-KNOXVILLE LLC ” Practice Location

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