LIFE CARE CENTERS OF AMERICA, INC. (NPI# 1295777894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295777894 |
Entity Type | Organization |
Organization Name | LIFE CARE CENTERS OF AMERICA, INC. |
Other Organization Name | LIFE CARE CENTER OF ATHENS |
Practice Address |
1234 Frye St Athens TN 37303-3052 |
Mailing Address |
3001 Keith St Nw Cleveland TN 37312-3713 |
Practice Telephone | 4237458181 |
Practice Fax Number | 4237459257 |
Mailing Telephone | 4234735751 |
Mailing Fax Number | 4233398342 |
Enumeration Date | 2006-06-11 |
Last Update Date | 2008-02-12 |
Authorized Official Name | CINDY S CROSS (ASSISTANT SECRETARY) |
Authorized Official Telephone | 4234735867 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 164 | TN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 744-0491 | 05 |
Other Name | Type Code |
---|---|
Life Care Center of Athens | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750448437 | Life Care Centers of America, Inc. | Respite Care | 1625 Carr St, Lakewood, CO 80214-5926 | 2007-01-02 |
1083771679 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2007-01-02 |
1467540070 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 4041 S Poplar St, Casper, WY 82601-5928 | 2006-10-10 |
1467461103 | Life Care Centers of America, Inc. | Respite Care | 530 W 16th St, Salida, CO 81201-2240 | 2006-08-05 |
1164440103 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1510 Cypress Gardens Boulevard, Winter Haven, FL 33884 | 2006-07-17 |
1356367700 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 8104 Tuttle Ave, Sarasota, FL 34243-2885 | 2006-07-15 |
1235155680 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 355 Crossing Blvd, Orange Park, FL 32073-2860 | 2006-07-15 |
1497771836 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3720 Se Jennings Rd, Port St Lucie, FL 34952-7701 | 2006-07-15 |
1417973389 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 2800 Sw 41st St, Ocala, FL 34474-4454 | 2006-07-14 |
1427083799 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 501 W Economy Rd, Morristown, TN 37814-3222 | 2006-07-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St Nw, Cleveland, TN 37312 |
Connecticut Business Registrations | LIFE CARE CENTERS OF AMERICA, INC. | 114 South Main St, Bel Air, MD 21014 |
Washington State Corporations | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St Nw, Cleveland, TN 37312-4309 |
Oregon Corporations, Companies and Business Names | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith Street Nw, Cleveland, TN 37311 |
Massachusetts Corporations | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St.,n.w., Cleveland, TN 37312 |
Street Address |
1234 FRYE ST |
City | ATHENS |
State | TN |
Zip Code | 37303-3052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841704509 | Shane P Watson | Occupational Therapist | 1234 Frye St, Athens, TN 37303-3052 | 2017-11-16 |
1316497977 | Lisa Lynn Self | Occupational Therapist | 1234 Frye St, Athens, TN 37303-3052 | 2016-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
Find all providers in zip 37303 |
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 |
---|---|---|---|---|
1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
1780124594 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 121 Commons, Athens, TX 75751-0009 | 2017-02-27 |
1033405170 | Athens Ltc, Inc | Skilled Nursing Facility | 70 Circle Drive, Athens, OH 45701 | 2011-06-28 |
1710008263 | Fannin County Hospital Authority | Skilled Nursing Facility | 711 Lucas Dr, Athens, TX 75751-3445 | 2007-04-03 |
1609916519 | Kimes Convalescent Center, Ltd | Skilled Nursing Facility | 75 Kimes Ln, Athens, OH 45701-3801 | 2007-02-08 |
1851310940 | Forum Green, Inc. | Skilled Nursing Facility | 1600 West Hobbs Street, Athens, AL 35611 | 2006-07-19 |
1417904939 | Pruitthealth - Grandview, LLC | Skilled Nursing Facility | 165 Winston Drive, Athens, GA 30607-1123 | 2006-05-29 |
1932156072 | The Oaks - Athens Skilled Nursing, LLC | Skilled Nursing Facility | 490 Kathwood Dr, Athens, GA 30607-1132 | 2006-05-27 |
1316993769 | Pruitthealth - Athens Heritage LLC | Skilled Nursing Facility | 960 Hawthorne Ave, Athens, GA 30606-2140 | 2006-05-26 |
1316992274 | Nhc Healthcare-athens LLC | Skilled Nursing Facility | 1204 Frye St, Athens, TN 37303-3052 | 2006-05-22 |
Find all providers in ATHENS |
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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.