BRAKEBILL NURSING HOME, INC. (NPI# 1942202171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942202171 |
| Entity Type | Organization |
| Organization Name | BRAKEBILL NURSING HOME, INC. |
| Other Organization Name | BRAKEBILL NURSING AND REHABILITATION CENTER |
| Practice Address |
5837 Lyons View Pike Knoxville TN 37919-6474 |
| Practice Telephone | 8655843902 |
| Practice Fax Number | 8655842122 |
| Mailing Telephone | 8655843902 |
| Mailing Fax Number | 8655842122 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-08-02 |
| Authorized Official Name | MR. JAMES WILKERSON (CONTROLLER) |
| Authorized Official Telephone | 8655843902 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | BRAKEBILL NURSING HOME, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000141 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 313M00000X | 05 | |
| TN | BCBS | 1000662 | 01 |
| Other Name | Type Code |
|---|---|
| Brakebill Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
5837 LYONS VIEW PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-6474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205329141 | Meredith Cunningham | Speech-Language Pathologist | 5837 Lyons View Pike, Knoxville, TN 37919-6474 | 2018-06-13 |
| 1326541533 | Erica Nicole Lafollette | Occupational Therapist | 5837 Lyons View Pike, Knoxville, TN 37919-6474 | 2018-03-14 |
| 1700295391 | Knoxville Healthcare LLC | Skilled Nursing Facility | 5837 Lyons View Pike, Knoxville, TN 37919-6474 | 2014-08-07 |
| 1184873705 | Janene Cooch-stout | Speech-Language Pathologist | 5837 Lyons View Pike, Knoxville, TN 37919-6474 | 2008-09-18 |
| 1952418030 | Brakebill Nursing Home | Skilled Nursing Facility | 5837 Lyons View Pike, Knoxville, TN 37919-6474 | 2006-08-24 |
| 1548296668 | Alice W Sasser | Clinical Nurse Specialist | 5837 Lyons View Pike, 5908 Lyons View Pike, Knoxville, TN 37919-6474 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285695270 | Hillcrest Healthcare Communities Inc | Nursing Facility/Intermediate Care Facility | 6801 Middlebrook Pike, Knoxville, TN 37909 | 2006-03-29 |
| 1851352975 | Hillcrest Healthcare Communities Inc | Nursing Facility/Intermediate Care Facility | 5321 Beverly Park Circle, Knoxville, TN 37918 | 2006-03-29 |
| 1639138134 | Good Samaritan Nursing Home | Nursing Facility/Intermediate Care Facility | 407 N Hebard St, Knoxville, IL 61448-1174 | 2006-03-22 |
| 1497740211 | Serene Manor Hospital Inc | Nursing Facility/Intermediate Care Facility | 970 Wray Street, Knoxville, TN 37917 | 2005-09-19 |
| 1083752901 | St. Mary's Holston Health and Rehabilitation Center, Inc. | Nursing Facility/Intermediate Care Facility | 3916 Boyds Bridge Pike, Knoxville, TN 37914-6233 | 2007-02-02 |
| 1427019413 | Hillcrest Healthcare Communities, Inc | Nursing Facility/Intermediate Care Facility | 1758 Hillwood Dr, Knoxville, TN 37920-2600 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922493592 | Oaktree Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 6500 Kirby Gate Cv, Memphis, TN 38119-8203 | 2015-04-01 |
| 1265779086 | White House Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 2871 Highway 31 W, White House, TN 37188-5226 | 2013-01-14 |
| 1912289208 | Sonja Teresa Dishman | Nursing Facility/Intermediate Care Facility | 521 Potter Rd, Jamestown, TN 38556-4120 | 2011-09-13 |
| 1427350123 | At Home Health Services, LLC | Nursing Facility/Intermediate Care Facility | 22 Monument Rd, Suite 100, Summertown, TN 38483-7644 | 2010-12-01 |
| 1811218324 | Christian Care Center of Rutherford County LLC | Nursing Facility/Intermediate Care Facility | 202 Enon Springs Road East, Smyrna, TN 37167 | 2010-06-18 |
| 1619296936 | Dr Casey Kim Pllc | Nursing Facility/Intermediate Care Facility | 7902 Eagle Mere Rd, Chattanooga, TN 37421-7315 | 2010-05-26 |
| 1053556274 | Johnson City Health Property Investors, LLC | Nursing Facility/Intermediate Care Facility | 400 N Boone St, Johnson City, TN 37604-5635 | 2008-12-03 |
| 1598912537 | Agape Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 2020 Northpark, Suite 2f, Johnson City, TN 37604-3127 | 2008-08-21 |
| 1063614113 | Trina Wright | Nursing Facility/Intermediate Care Facility | 265 Margaret Cir, Mc Minnville, TN 37110-6815 | 2007-06-01 |
| 1841311404 | Ssc Newport Operating Company LLC | Nursing Facility/Intermediate Care Facility | 135 Generation Dr, Newport, TN 37821-8018 | 2007-04-02 |
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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.