THOMAS J MABRY & ASSOC INC (NPI# 1114040292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114040292 |
| Entity Type | Organization |
| Organization Name | THOMAS J MABRY & ASSOC INC |
| Other Organization Name | MABRY HEALTH CARE & REHAB CENTER |
| Practice Address |
1340 N Grundy Quarles Hwy Gainesboro TN 38562 |
| Mailing Address |
Po Box 7 1340 N Grundy Quarles Highway Gainesboro TN 38562 |
| Practice Telephone | 9312680291 |
| Practice Fax Number | 9312689241 |
| Mailing Telephone | 9312680291 |
| Mailing Fax Number | 9312689241 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | MS. KATHLEEN M GRAVES (OWNER NHA) |
| Authorized Official Telephone | 9312680291 |
| Authorized Official Credential | ADM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 136 | TN | Nursing & Custodial Care Facilities |
| N | 314000000X | Skilled Nursing Facility | 0000000136 | TN | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000136 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445272 | 05 | |
| TN | 7440362 | 05 |
| Other Name | Type Code |
|---|---|
| Mabry Health Care & Rehab Center | Doing Business As Name - Organization |
| Street Address |
1340 N GRUNDY QUARLES HWY |
| City | GAINESBORO |
| State | TN |
| Zip Code | 38562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023768 | Grandkin Caregivers LLC | In Home Supportive Care | 107 East Gore Avenue, Gainesboro, TN 38562 | 2019-09-20 |
| 1861704587 | Gainesboro Ultimate Med Service Corporation | Clinic/Center | 179 Buck Branch Ln, Gainesboro, TN 38562 | 2010-07-10 |
| 1548582125 | Thomas J Mabry & Associates | Assisted Living Facility | 100 Jettie Mabry Lane, Gainesboro, TN 38562 | 2010-02-23 |
| 1861403933 | Gainesboro Rx Corp | Pharmacy | 100 Hull Avenue, Gainesboro, TN 38562 | 2006-08-11 |
| 1194748566 | Anderson & Haile Drug Store | Durable Medical Equipment & Medical Supplies | 101 West Gore Ave, Gainesboro, TN 38562 | 2006-07-25 |
| 1861496341 | Jackson County Court House Executive | Ambulance | 316 N. Murray Street, Gainesboro, TN 38562 | 2005-06-13 |
| 1699172312 | Teneal Faye Jenkins | Pharmacist | 101 West Gore Ave, Gainesboro, TN 38562-0065 | 2014-11-24 |
| 1336312735 | Elijah M Dudney | General Practice | 2546 Freestate Road, Gainesboro, TN 38562-0126 | 2008-04-07 |
| 1235418690 | Alexa Allison Miller | Dentist | 103 East Gore Ave, Gainesboro, TN 38562-0595 | 2011-08-16 |
| 1508081233 | Jerry Ray Driver | Dentist | 103 East Gore Ave., Gainesboro, TN 38562-0595 | 2007-04-16 |
| Find all providers in zip 38562 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922493592 | Oaktree Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 6500 Kirby Gate Cv, Memphis, TN 38119-8203 | 2015-04-01 |
| 1265779086 | White House Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 2871 Highway 31 W, White House, TN 37188-5226 | 2013-01-14 |
| 1912289208 | Sonja Teresa Dishman | Nursing Facility/Intermediate Care Facility | 521 Potter Rd, Jamestown, TN 38556-4120 | 2011-09-13 |
| 1427350123 | At Home Health Services, LLC | Nursing Facility/Intermediate Care Facility | 22 Monument Rd, Suite 100, Summertown, TN 38483-7644 | 2010-12-01 |
| 1811218324 | Christian Care Center of Rutherford County LLC | Nursing Facility/Intermediate Care Facility | 202 Enon Springs Road East, Smyrna, TN 37167 | 2010-06-18 |
| 1619296936 | Dr Casey Kim Pllc | Nursing Facility/Intermediate Care Facility | 7902 Eagle Mere Rd, Chattanooga, TN 37421-7315 | 2010-05-26 |
| 1053556274 | Johnson City Health Property Investors, LLC | Nursing Facility/Intermediate Care Facility | 400 N Boone St, Johnson City, TN 37604-5635 | 2008-12-03 |
| 1598912537 | Agape Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 2020 Northpark, Suite 2f, Johnson City, TN 37604-3127 | 2008-08-21 |
| 1063614113 | Trina Wright | Nursing Facility/Intermediate Care Facility | 265 Margaret Cir, Mc Minnville, TN 37110-6815 | 2007-06-01 |
| 1841311404 | Ssc Newport Operating Company LLC | Nursing Facility/Intermediate Care Facility | 135 Generation Dr, Newport, TN 37821-8018 | 2007-04-02 |
| Find all providers with the same taxonomy | ||||
| City | GAINESBORO |
| Zip Code | 38562 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.