KNOXVILLE HEALTH CARE CENTER, LTD (NPI# 1164467270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164467270 |
Entity Type | Organization |
Organization Name | KNOXVILLE HEALTH CARE CENTER, LTD |
Practice Address |
2120 Highland Ave Knoxville TN 37916-1112 |
Practice Telephone | 8655254131 |
Mailing Telephone | 8655254131 |
Enumeration Date | 2006-06-20 |
Last Update Date | 2015-01-02 |
Authorized Official Name | ROBERT MICHEAL USSERY (SVP) |
Authorized Official Telephone | 6158902020 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 319 | TN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 1000636 | 01 |
CARITEN SENIOR HEALTH | 702009000 | 01 | |
TN | 0445107 | 05 | |
TN | 7440263 | 05 |
Street Address |
2120 HIGHLAND AVE |
City | KNOXVILLE |
State | TN |
Zip Code | 37916-1112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629533005 | Bobbie Lee | Occupational Therapy Assistant | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2019-02-10 |
1245743541 | Anna Livesay | Speech-Language Pathologist | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2017-11-08 |
1235651936 | Megan Hope Conner | Physical Therapy Assistant | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2017-07-13 |
1194259556 | Joel Ramirez Ramos | Physical Therapy Assistant | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2017-04-12 |
1043769151 | Mark Wade | Physical Therapy Assistant | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2016-09-30 |
1336695139 | Brooke Carpenter | Physical Therapy Assistant | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2016-08-31 |
1316300015 | Tonya Turner | Occupational Therapy Assistant | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2016-03-30 |
1043688310 | Abigail Leeton | Physical Therapy Assistant | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2015-09-03 |
1386049658 | Barbara Jorgensen | Physical Therapist | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2014-10-29 |
1952705360 | Karen Katelyn Finley Williams | Physical Therapist | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2014-10-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
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Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760940613 | Marble City Medical LLC | Skilled Nursing Facility | 7500 Dodson Rd, Knoxville, TN 37920-9734 | 2019-03-11 |
1457805186 | Barton Blazer Smith | Skilled Nursing Facility | 210 Busbee Rd, Knoxville, TN 37920-5104 | 2016-08-11 |
1114312899 | Dr. David White | Skilled Nursing Facility | 9401 Naraca Dr, Knoxville, TN 37922-3404 | 2015-03-31 |
1164830261 | National Health Care | Skilled Nursing Facility | 809 East Emerald Ave, Knoxville, TN 37917 | 2014-08-01 |
1891701645 | Summit View of Farragut, LLC | Skilled Nursing Facility | 12823 Kingston Pike, Knoxville, TN 37934-0920 | 2006-08-01 |
1750306759 | Nhc Healthcare-knoxville LLC | Skilled Nursing Facility | 809 E Emerald Ave, Knoxville, TN 37917-5550 | 2006-07-12 |
1790726503 | Tennessee State Veterans Home Board | Skilled Nursing Facility | One Veterans Way, Knoxville, TN 37931-3101 | 2006-06-10 |
1699748178 | Care Initiatives | Skilled Nursing Facility | 1904 W Howard St, Knoxville, IA 50138-3180 | 2006-02-07 |
1265410948 | Fort Sanders Regional Medical Center | Skilled Nursing Facility | 1901 Clinch Avenue, Knoxville, TN 37995-0001 | 2006-01-04 |
1558342964 | Nhc Healthcare-holston Hills LLC | Skilled Nursing Facility | 3916 Boyds Bridge Pike, Knoxville, TN 37914-6233 | 2005-11-11 |
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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.