COVINGTON CARE NURSING AND REHABILITATION CENTER INC (NPI# 1861456469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861456469 |
| Entity Type | Organization |
| Organization Name | COVINGTON CARE NURSING AND REHABILITATION CENTER INC |
| Practice Address |
765 Bert Johnston Ave Covington TN 38019 |
| Mailing Address |
Po Box 10 Parsons TN 38363-0010 |
| Practice Telephone | 9014750027 |
| Practice Fax Number | 9014750081 |
| Mailing Telephone | 7318476343 |
| Mailing Fax Number | 7318474200 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | MRS. ROBIN F BRADLEY (SECRETARY) |
| Authorized Official Telephone | 6155958383 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN HEALTH COMPANIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 324 | TN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 0000000324 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 744-0564 | 05 |
| Street Address |
765 BERT JOHNSTON AVE |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295258879 | Tristen Gabrielle Willis | Occupational Therapy Assistant | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2017-07-25 |
| 1073990966 | Alexandra Claire Campbell | Physical Therapy Assistant | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2015-04-30 |
| 1508209719 | Alyssa Marie Davis | Occupational Therapist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2013-04-08 |
| 1104151331 | Liza M Goossens | Physical Therapy Assistant | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2009-10-06 |
| 1649438557 | Tracey Lee Duncan | Occupational Therapist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2008-05-28 |
| 1508024720 | Amy Sims Carlisle | Physical Therapist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2008-05-23 |
| 1356564637 | David Aron Teska | Physical Therapy Assistant | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2007-04-11 |
| 1437235363 | Kerry Kelley Williams | Occupational Therapist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2006-10-31 |
| 1780767475 | Debra Mclemore Duffy | Specialist | 765 Bert Johnston Ave, Covington, TN 38019-2414 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| Find all providers in zip 38019 | ||||
| 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 |
|---|---|---|---|---|
| 1508079757 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 1600 Liberty St, Covington, IN 47932-1715 | 2007-05-07 |
| 1528000965 | Commcare Corporation | Skilled Nursing Facility | 612 Holy Trinity Drive, Covington, LA 70433 | 2006-06-11 |
| 1982645404 | Major Hospital | Skilled Nursing Facility | 1600 E. Liberty Street, Covington, IN 47932-1715 | 2006-06-08 |
| 1013957067 | St Elizabeth Medical Center Inc | Skilled Nursing Facility | 401 E 20th Street, Covington, KY 41014 | 2006-06-07 |
| 1942258876 | Community Care Center of Covington LLC | Skilled Nursing Facility | 1330 Ochsner Blvd, Covington, LA 70433-8172 | 2006-05-04 |
| 1497720668 | Adcare Health Systems, Inc. | Skilled Nursing Facility | 75 Mote Dr, Covington, OH 45318-1245 | 2006-02-21 |
| 1871579698 | Riverside Healthcare, L.p. | Skilled Nursing Facility | 5100 West St Nw, Covington, GA 30014-2173 | 2005-12-22 |
| 1871577981 | St Elizabeth Medical Center Skilled Facility | Skilled Nursing Facility | 401 E 20th St, Covington, KY 41014-1583 | 2005-12-01 |
| 1992786396 | Christwood | Skilled Nursing Facility | 100 Christwood Blvd, Covington, LA 70433-4606 | 2005-11-11 |
| 1922599729 | Miami Cov Snf, Inc. | Skilled Nursing Facility | 75 Mote Dr, Covington, OH 45318-1245 | 2018-05-29 |
| Find all providers in COVINGTON | ||||
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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.