WAYNESBORO HEALTHCARE, LLC


Address: 104 Jv Mangubat Dr, Waynesboro, TN 38485-2439
Phone: 9317223641

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 0000000278 TN Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN 0445518 05
TN 7440620 05

Other Provider/Organization Names

Other Name Type Code
Waynesboro Health and Rehabilitation Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992119010 Waynesboro Healthcare, LLC Skilled Nursing Facility 505 S High St, Waynesboro, TN 38485-2610 2014-06-17

Office Location

Street Address 104 JV MANGUBAT DR
City WAYNESBORO
State TN
Zip Code 38485-2439

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WAYNESBORO
Zip Code 38485

Improve Information

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Dataset Information

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.

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