GLEN OAKS CONVALESCENT CENTER (NPI# 1770538290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770538290 |
| Entity Type | Organization |
| Organization Name | GLEN OAKS CONVALESCENT CENTER |
| Practice Address |
1101 Glen Oaks Road Shelbyville TN 37160 |
| Practice Telephone | 9316848340 |
| Practice Fax Number | 9316854113 |
| Mailing Telephone | 9316848340 |
| Mailing Fax Number | 9316854113 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | MRS. JUDY A. BENNETT (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9316848340 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHCARE MANAGEMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0000000007 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445234A | 05 | |
| TN | 74402836 | 05 |
| Street Address |
1101 GLEN OAKS ROAD |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1285158519 | Angelique Lynn Oliver | Case Management | 604 S. Wall St., Shelbyville, TN 37160 | 2017-07-28 |
| 1215476445 | Acts of Kindness | Home Health | 213 Lane Parkway, Shelbyville, TN 37160 | 2017-02-21 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1346459385 | Chamberland Dentistry PC | Preferred Provider Organization | 1006 Colloredo Blvd, Shelbyville, TN 37160 | 2007-05-22 |
| Find all providers in zip 37160 | ||||
| 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 |
|---|---|---|---|---|
| 1629222633 | Petersen Health Operations | Skilled Nursing Facility | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2008-11-05 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1811007370 | Bedford County Nursing Home | Skilled Nursing Facility | 835 Union St, Shelbyville, TN 37160-2607 | 2006-08-30 |
| 1912015058 | Hancock Regional Hospital | Skilled Nursing Facility | 2200 N Riley Hwy, Shelbyville, IN 46176-9465 | 2006-08-28 |
| 1245343706 | Crestview Nursing, LLC | Skilled Nursing Facility | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2006-08-17 |
| 1669495131 | Masonic Homes of Kentucky Inc | Skilled Nursing Facility | 711 Frankfort Rd, Shelbyville, KY 40065-9447 | 2006-07-25 |
| 1518990704 | Shelbyville Hco, LLC | Skilled Nursing Facility | 2116 South 3rd Street, Shelbyville, IL 62565 | 2006-07-09 |
| 1851387260 | Unlimited Development, Inc | Skilled Nursing Facility | 1111 West North 12th St, Shelbyville, IL 62565-9554 | 2005-09-21 |
| 1912530189 | Shelbyville Hco, LLC | Skilled Nursing Facility | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2020-02-17 |
| 1679116370 | Glen Oaks Healthcare LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2019-10-25 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 37160 |
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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.