GRACE REHABILITATION CENTER, INC. (NPI# 1659485936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659485936 |
| Entity Type | Organization |
| Organization Name | GRACE REHABILITATION CENTER, INC. |
| Practice Address |
2435 Jacksboro Pike La Follette TN 37766-2910 |
| Practice Telephone | 4235662250 |
| Practice Fax Number | 4235665896 |
| Mailing Telephone | 4235662250 |
| Mailing Fax Number | 4235665896 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-10-09 |
| Authorized Official Name | BRIAN W LEACH (PRESIDENT) |
| Authorized Official Telephone | 4235662250 |
| Authorized Official Credential | M.B.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
446655 | TN | Ambulatory Health Care Facilities |
| Street Address |
2435 JACKSBORO PIKE |
| City | LA FOLLETTE |
| State | TN |
| Zip Code | 37766-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724919 | Rebekah Ann Keith Ghawaly | Speech-Language Pathologist | 2435 Jacksboro Pike, La Follette, TN 37766-2910 | 2020-09-09 |
| 1831738848 | Sarah M Warner | Occupational Therapist | 2435 Jacksboro Pike, La Follette, TN 37766-2910 | 2019-12-23 |
| 1356998827 | Emily C James | Speech-Language Pathologist | 2435 Jacksboro Pike, La Follette, TN 37766-2910 | 2019-08-20 |
| 1235790056 | Taylon N West | Occupational Therapist | 2435 Jacksboro Pike, La Follette, TN 37766-2910 | 2019-06-24 |
| 1508339730 | Jessica Edwards | Occupational Therapist | 2435 Jacksboro Pike, La Follette, TN 37766-2910 | 2019-01-10 |
| 1346797107 | Natasha Reed Yeary | Occupational Therapist | 2435 Jacksboro Pike, La Follette, TN 37766-2908 | 2016-09-08 |
| 1588094650 | Morgan Lay | Physical Therapist | 2435 Jacksboro Pike, La Follette, TN 37766-2908 | 2013-11-26 |
| 1780019794 | Kerry Rupe | Physical Therapist | 2435 Jacksboro Pike, La Follette, TN 37766 | 2013-09-09 |
| 1790925139 | Jamie Gossett | Speech-Language Pathologist | 2435 Jacksboro Pike, La Follette, TN 37766-2908 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819914 | Legal Medicine | Nurse Practitioner | 100 South 5th Street, Lafollette, TN 37766 | 2019-03-04 |
| 1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
| 1740588920 | Campbell County Walk In Clinic LLC | Family Medicine | 2301 Jacksboro Pkie, Lafollette, TN 37766 | 2011-03-11 |
| 1992001853 | Complete Rural Healthcare and Medical Center Pllc | Specialist | 2146 Jacksboro Pike Suite C, Lafollette, TN 37766 | 2011-02-09 |
| 1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1548386899 | Gerald A Troutman | Dentist | 109 East Beech Street, Lafollette, TN 37766 | 2007-03-21 |
| 1437280815 | Susan Rebecca Mills | Nurse Practitioner | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 | 2007-03-08 |
| 1699844399 | County of Campbell | Ambulance | 136 North Massachusetts Ave, Lafollette, TN 37766 | 2006-11-07 |
| 1336230465 | George O'neal Vinsant | Surgery | 919 E. Central Avenue, Suite 201, Lafollette, TN 37766 | 2006-09-27 |
| Find all providers in zip 37766 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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|---|---|---|---|---|
| 1083166912 | Tulip Hill Recovery LLC | Clinic/Center | 1800 S Rutherford Blvd Ste 103, Murfreesboro, TN 37130-5996 | 2016-10-26 |
| 1992256267 | Nulife Physical Therapy, Inc | Clinic/Center | 5426 Highway 31 E, Ste B, Westmoreland, TN 37186-2115 | 2016-10-20 |
| 1346606787 | Yapa Dba Project Transition | Clinic/Center | 3055 Lebanon Pike, Suite 2102, Nashville, TN 37214-2230 | 2016-01-14 |
| 1013302777 | Nulife Physical Therapy Inc | Clinic/Center | 705 S Broadway St # B, Portland, TN 37148-1628 | 2015-03-31 |
| 1215230693 | Crc Health Tennessee, Inc. | Clinic/Center | 102 N Cedar Ave, Cookeville, TN 38501-2417 | 2010-12-07 |
| 1831379486 | Simba Rehab, LLC | Clinic/Center | 1149 Travers Ln, Cordova, TN 38018-8835 | 2007-11-13 |
| 1134341506 | Therapeutic Solutions, LLC | Clinic/Center | 2907 Decatur Hwy, Kingston, TN 37763-6388 | 2007-05-03 |
| 1770708257 | Baptist Memorial Hospital | Clinic/Center | 50 Humphreys Ctr Ste 23, Memphis, TN 38120-2369 | 2007-04-17 |
| 1932196417 | East Memphis Therapy Center | Clinic/Center | 2715 Kirby Rd, Suite 15, Memphis, TN 38119-8238 | 2005-09-30 |
| 1639166127 | Bartlett Therapy Center | Clinic/Center | 5142 Stage Rd, Suite 101, Memphis, TN 38134-3164 | 2005-09-30 |
| Find all providers with the same taxonomy | ||||
| City | LA FOLLETTE |
| Zip Code | 37766 |
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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.