BRIGHT GLADE HEALTH AND REHABILITATION CENTER INC (NPI# 1366406068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366406068 |
| Entity Type | Organization |
| Organization Name | BRIGHT GLADE HEALTH AND REHABILITATION CENTER INC |
| Practice Address |
5070 Sanderlin Ave Memphis TN 38117 |
| Mailing Address |
Po Box 10 Parsons TN 38363-0010 |
| Practice Telephone | 9016825677 |
| Practice Fax Number | 9016825678 |
| Mailing Telephone | 7318476343 |
| Mailing Fax Number | 7318474200 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | MS. ROBIN F BRADLEY (SECRETARY) |
| Authorized Official Telephone | 6155958383 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN HEALTH COMPANIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 0234 | TN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 0000000234 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 744-0600 | 05 |
| Street Address |
5070 SANDERLIN AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640721 | Kajuanda Reynolds | Speech-Language Pathologist | 5070 Sanderlin Ave, Memphis, TN 38117-4332 | 2014-05-06 |
| 1144650409 | Lauren Kelly Dugard | Speech-Language Pathologist | 5070 Sanderlin Ave, Memphis, TN 38117-4332 | 2013-11-22 |
| 1710322169 | Shannon Renee' Hyden | Occupational Therapist | 5070 Sanderlin Ave, Memphis, TN 38117-4332 | 2013-04-29 |
| 1730376674 | Lisbeth Lyerly Williams | Occupational Therapist | 5070 Sanderlin Ave, Memphis, TN 38117-4332 | 2007-09-25 |
| 1407043359 | Barbara Diane Royal | Physical Therapy Assistant | 5070 Sanderlin Ave, Memphis, TN 38117-4332 | 2007-09-25 |
| 1184832156 | Tina M Todd | Nurse Practitioner | 5070 Sanderlin Ave, Memphis, TN 38117-4332 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| 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 |
|---|---|---|---|---|
| 1881820702 | Lp Memphis II, LLC | Skilled Nursing Facility | 6007 Park Ave, Memphis, TN 38119-5200 | 2009-06-05 |
| 1407071616 | Psalms, Inc | Skilled Nursing Facility | 3535 Kirby Rd, Memphis, TN 38115-3721 | 2007-04-14 |
| 1457404386 | Zues Leasing LLC | Skilled Nursing Facility | 1415 N. 18th Street, Memphis, TX 79245 | 2007-01-22 |
| 1821161803 | Quince Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 6733 Quince Rd, Memphis, TN 38119-8602 | 2006-11-16 |
| 1295811255 | Scotland County Nursing Home District | Skilled Nursing Facility | 434 E Sigler Avenue, Memphis, MO 63555-1714 | 2006-10-31 |
| 1770684342 | Mid-south Health Services, LLC | Skilled Nursing Facility | 3030 Walnut Grove Rd, Memphis, TN 38111-3508 | 2006-09-26 |
| 1063445914 | Graceland Nursing Center, LLC | Skilled Nursing Facility | 1250 Farrow Rd, Memphis, TN 38116-7116 | 2006-07-07 |
| 1760411607 | Allenbrooke Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 3933 Allenbrooke Cv, Memphis, TN 38118-1866 | 2006-07-02 |
| 1689646150 | Fmsc Memphis Operating Company LLC | Skilled Nursing Facility | 2491 Joy Ln, Memphis, TN 38114-6088 | 2006-02-07 |
| 1417936840 | Vanguard of Memphis, LLC | Skilled Nursing Facility | 131 N Tucker St, Memphis, TN 38104 | 2006-01-13 |
| Find all providers in MEMPHIS | ||||
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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.