LIFE CARE CENTERS OF AMERICA, INC. (NPI# 1376574301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376574301 |
| Entity Type | Organization |
| Organization Name | LIFE CARE CENTERS OF AMERICA, INC. |
| Other Organization Name | LIFE CARE CENTER OF JEFFERSON CITY |
| Practice Address |
336 W Old Andrew Johnson Hwy Jefferson City TN 37760-5212 |
| Mailing Address |
3001 Keith St Nw Cleveland TN 37312-3713 |
| Practice Telephone | 8654756097 |
| Practice Fax Number | 8654755236 |
| Mailing Telephone | 4234735751 |
| Mailing Fax Number | 4233398342 |
| Enumeration Date | 2006-07-06 |
| 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 | 139 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7440535 | 05 |
| Other Name | Type Code |
|---|---|
| Life Care Center of Jefferson City | 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 |
336 W OLD ANDREW JOHNSON HWY |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093176950 | Jefferson City Operations, LLC | Skilled Nursing Facility | 336 W Old Andrew Johnson Hwy, Jefferson City, TN 37760-5212 | 2016-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| 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 |
|---|---|---|---|---|
| 1518177591 | Missouri Veterans Commission | Skilled Nursing Facility | 205 Jefferson St Fl 12, Jefferson City, MO 65101-2901 | 2007-05-22 |
| 1356556625 | Lutheran Senior Services | Skilled Nursing Facility | 1306 W Main St, Jefferson City, MO 65109-1356 | 2007-05-11 |
| 1851415905 | Oak Tree Villas, Inc | Skilled Nursing Facility | 3801 West Truman Blvd, Jefferson City, MO 65109 | 2007-03-16 |
| 1245378371 | Adams Street Place, Inc. | Skilled Nursing Facility | 1024 Adams St, Jefferson City, MO 65101-3408 | 2007-02-01 |
| 1952476343 | Jefferson City Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1221 Southgate Ln, Jefferson City, MO 65109-2465 | 2006-11-21 |
| 1730131897 | Otke-villa LLC | Skilled Nursing Facility | 1030 Edmonds St, Jefferson City, MO 65109-5213 | 2006-05-17 |
| 1932159308 | Ggnsc Jefferson City LLC | Skilled Nursing Facility | 3038 W Truman Blvd, Jefferson City, MO 65109-0525 | 2006-05-10 |
| 1205381373 | N & R of Jefferson City LLC | Skilled Nursing Facility | 3038 W Truman Blvd, Jefferson City, MO 65109-0525 | 2016-08-18 |
| 1093176950 | Jefferson City Operations, LLC | Skilled Nursing Facility | 336 W Old Andrew Johnson Hwy, Jefferson City, TN 37760-5212 | 2016-03-18 |
| 1982901609 | Eldercare of Mid-missouri X, Inc | Skilled Nursing Facility | 1024 Adams St, Jefferson City, MO 65101-3408 | 2011-02-15 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.