DR CASEY KIM PLLC


Address: 7902 Eagle Mere Rd, Chattanooga, TN 37421-7315
Phone: 4236194894

DR CASEY KIM PLLC (NPI# 1619296936) 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) 1619296936
Entity Type Organization
Organization Name DR CASEY KIM PLLC
Practice Address 7902 Eagle Mere Rd
Chattanooga
TN 37421-7315
Practice Telephone 4236194894
Enumeration Date 2010-05-26
Last Update Date 2011-06-02
Authorized Official Name DR. KYONGCHOL KIM (PHYSICIAN)
Authorized Official Telephone 4236194894
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 43029 TN Nursing & Custodial Care Facilities

Office Location

Street Address 7902 EAGLE MERE RD
City CHATTANOOGA
State TN
Zip Code 37421-7315

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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

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1912289208 Sonja Teresa Dishman Nursing Facility/Intermediate Care Facility 521 Potter Rd, Jamestown, TN 38556-4120 2011-09-13
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1063614113 Trina Wright Nursing Facility/Intermediate Care Facility 265 Margaret Cir, Mc Minnville, TN 37110-6815 2007-06-01
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Competitor

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City CHATTANOOGA
Zip Code 37421

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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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