WAYNESBORO HEALTHCARE, LLC (NPI# 1235543463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235543463 |
Entity Type | Organization |
Organization Name | WAYNESBORO HEALTHCARE, LLC |
Other Organization Name | WAYNESBORO HEALTH AND REHABILITATION CENTER |
Practice Address |
104 Jv Mangubat Dr Waynesboro TN 38485-2439 |
Practice Telephone | 9317223641 |
Mailing Telephone | 9317223641 |
Mailing Fax Number | 9317227215 |
Enumeration Date | 2014-06-16 |
Last Update Date | 2019-03-28 |
Authorized Official Name | MR. KENNETH C HART JR. (TREASURER) |
Authorized Official Telephone | 4235846755 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0000000278 | TN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 0445518 | 05 | |
TN | 7440620 | 05 |
Other Name | Type Code |
---|---|
Waynesboro Health and Rehabilitation Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992119010 | Waynesboro Healthcare, LLC | Skilled Nursing Facility | 505 S High St, Waynesboro, TN 38485-2610 | 2014-06-17 |
Street Address |
104 JV MANGUBAT DR |
City | WAYNESBORO |
State | TN |
Zip Code | 38485-2439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538156575 | Wayne County Nursing Home | Nursing Facility/Intermediate Care Facility | 104 Jv Mangubat Dr, Waynesboro, TN 38485-2439 | 2005-10-04 |
1639731870 | Shelia Gaye Carroll | Occupational Therapy Assistant | 104 Jv Mangubat Dr, Waynesboro, TN 38485-2439 | 2019-07-08 |
1487135083 | Cessaley Leanne Davis | Physical Therapy Assistant | 104 Jv Mangubat Dr, Waynesboro, TN 38485-2439 | 2018-08-22 |
1992152888 | Krystal Whitwell | Speech-Language Pathologist | 104 Jv Mangubat Dr, Waynesboro, TN 38485-2439 | 2016-05-20 |
1669832234 | Kodi Daniels | Speech-Language Pathologist | 104 Jv Mangubat Dr, Waynesboro, TN 38485-2439 | 2016-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
Find all providers in zip 38485 |
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 |
---|---|---|---|---|
1336488873 | Christine Kay Washington | Skilled Nursing Facility | 18 Virginia Ave, Waynesboro, PA 17268-2317 | 2013-02-04 |
1215010277 | Avante At Waynesboro, Inc. | Skilled Nursing Facility | 1221 Rosser Ave, Waynesboro, VA 22980-3336 | 2006-10-23 |
1477595403 | Brentwood Terrace Health Center, LLC | Skilled Nursing Facility | 115 Brentwood Dr, Waynesboro, GA 30830-4519 | 2006-06-12 |
1548252810 | Pensacola Health Trust Inc | Skilled Nursing Facility | 1304 Walnut St, Waynesboro, MS 39367-2232 | 2005-08-22 |
1427546423 | Curis At Waynesboro Opco LLC | Skilled Nursing Facility | 1221 Rosser Ave, Waynesboro, VA 22980 | 2018-04-25 |
1992119010 | Waynesboro Healthcare, LLC | Skilled Nursing Facility | 505 S High St, Waynesboro, TN 38485-2610 | 2014-06-17 |
1982864708 | Ms Hud Pine View LLC | Skilled Nursing Facility | 1304 Walnut St, Waynesboro, MS 39367-2232 | 2008-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093343535 | Marie Carmelle Noel | Skilled Nursing Facility | 800 Sadie Ann Ct, Smyrna, TN 37167-3445 | 2020-03-30 |
1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
1760940613 | Marble City Medical LLC | Skilled Nursing Facility | 7500 Dodson Rd, Knoxville, TN 37920-9734 | 2019-03-11 |
1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
1285155705 | Stones River Manor, Inc. | Skilled Nursing Facility | 205 Haynes Dr, Murfreesboro, TN 37129-5101 | 2017-07-06 |
1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
1639625254 | Emerald Spring Hill, Inc. | Skilled Nursing Facility | 2000 Reserve Boulevard, Spring Hill, TN 37174-2370 | 2016-09-01 |
1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
1457805186 | Barton Blazer Smith | Skilled Nursing Facility | 210 Busbee Rd, Knoxville, TN 37920-5104 | 2016-08-11 |
Find all providers with the same taxonomy |
City | WAYNESBORO |
Zip Code | 38485 |
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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.