CLEVELAND TENNESSEE HOSPITAL COMPANY LLC (NPI# 1831160753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831160753 |
Entity Type | Organization |
Organization Name | CLEVELAND TENNESSEE HOSPITAL COMPANY LLC |
Other Organization Name | SKYRIDGE MEDICAL CENTER |
Practice Address |
2800 Westside Dr Nw Cleveland TN 37312-3501 |
Mailing Address |
Po Box 198029 Atlanta GA 30384-8029 |
Practice Telephone | 4233394100 |
Practice Fax Number | 4233394372 |
Enumeration Date | 2006-01-30 |
Last Update Date | 2009-10-12 |
Authorized Official Name | WILLIAM HUSSEY (SENIOR VP, GROUP OPERATIONS) |
Authorized Official Telephone | 8883739600 |
Is Organization Subpart | Y |
Parent Organization Name | NATIONAL HEALTHCARE OF CLEVELAND INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | 0000000006 | TN | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 0037608 | 01 | |
CIGNA | 373120002 | 01 | |
TN | 0440185 | 05 |
Other Name | Type Code |
---|---|
Skyridge Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
1376723379 | Cleveland Tennessee Hospital Company LLC | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2007-11-07 |
1790756203 | Cleveland Tennessee Hospital Company LLC | General Acute Care Hospital | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2006-02-01 |
Street Address |
2800 WESTSIDE DR NW |
City | CLEVELAND |
State | TN |
Zip Code | 37312-3501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487651824 | Jonathan David Mcallister II | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2005-06-30 |
1669942769 | Adrianna Payne Sifford | Counselor | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2018-11-30 |
1851717094 | Chattanooga Psychiatry Clinic Pllc | Psychiatry & Neurology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2014-03-12 |
1801168562 | Tennessee Cancer Specialists | Internal Medicine | 2800 Westside Dr Nw, Sky Ridge Medical Center West Campus, Cleveland, TN 37312-3501 | 2012-01-27 |
1376723379 | Cleveland Tennessee Hospital Company LLC | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2007-11-07 |
1851595300 | Internal Medicine & Wound Consultants, Inc | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2007-06-11 |
1033227608 | Community Anesthesia, PC | Anesthesiology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-08-25 |
1679585798 | Mohsin Ali | Psychiatry & Neurology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-08-13 |
1023048030 | Diagnostic Radiology of Cleveland, PC | Radiology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-07-04 |
1255302006 | National Healthcare of Cleveland Nc | Medicare Defined Swing Bed Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
Find all providers in zip 37312 |
Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023630761 | Winter Spring Health Services | Psychiatric Unit | 13509 Highlandview Ave, Cleveland, OH 44135-1622 | 2020-05-16 |
1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
1306142062 | Phc-cleveland Inc | Psychiatric Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
1669559811 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-11-01 |
1376579532 | Southwest General Health Center | Psychiatric Unit | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2006-06-22 |
1003854951 | Lutheran Hospital | Psychiatric Unit | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-06-03 |
1881631471 | Metrohealth System | Psychiatric Unit | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2006-06-01 |
1245283050 | Cleveland Clinic Health System - East Region | Psychiatric Unit | 13951 Terrace Rd, Cleveland, OH 44112-4308 | 2006-05-19 |
1154395820 | St Vincent Charity Medical Center | Psychiatric Unit | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376719419 | Hca Health Services of Tennessee, Inc. | Psychiatric Unit | 391 Wallace Road, Nashville, TN 37211-4851 | 2008-05-07 |
1831223635 | Lincoln Medical Center | Psychiatric Unit | 1681 Winchester Hwy, Fayetteville, TN 37334-2758 | 2007-03-15 |
1558499483 | Perry Community Hospital, LLC | Psychiatric Unit | 2718 Squirrel Hollow Dr, Linden, TN 37096-3526 | 2007-03-01 |
1760405849 | Wellmont Health System | Psychiatric Unit | 1905 American Way, Kingsport, TN 37660-5882 | 2006-07-26 |
1821030842 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Avenue, Lebanon, TN 37087-3721 | 2006-06-12 |
1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
1295792125 | Baptist Memorial Hospital- Lauderdale | Psychiatric Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2006-04-26 |
1306818265 | State of Tennessee F&a Payroll | Psychiatric Unit | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2006-02-06 |
1548241953 | Campbell County Hma, LLC | Psychiatric Unit | 923 E Central Ave, La Follette, TN 37766-2768 | 2005-11-11 |
1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
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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.