Bradley County Nursing Home in Cleveland - Nursing Facility/intermediate Care Facility
Bradley County Nursing Home - NPI 1801884010
Bradley County Nursing Home is a Nursing Facility/intermediate Care Facility in Cleveland, Tennessee. Bradley County Nursing Home practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Bradley County Nursing Home is 1801884010. The last update date is 2010-12-01.
Bradley County Nursing Home's current location address is 2910 Peerless Rd Nw, Cleveland, Tennessee. You can contact this provider via phone number 4234727116. The mailing address for Bradley County Nursing Home is 2910 Peerless Rd Nw, Cleveland, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradley County Nursing Home |
|---|---|
| Address | 2910 Peerless Rd Nw, Cleveland, Tennessee |
| Phone Number | 4234727116 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Newcomb H Joseph |
| Telephone Number | 4234727116 |
NPI Number Detail
| NPI Number | 1801884010 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2010-12-01 |
Provider Mailing Address Detail
| Address | 2910 Peerless Rd Nw |
|---|---|
| City | Cleveland |
| State | Tennessee (TN) |
| Post Code | 373123742 |
| Phone Number | 4234727116 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
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Definition: 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 reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 345040001 | TN | DEMERC/PALMETTO | |
| 7440017 | TN | -- | |
| 345040001 | TN | DME MAC JURISDICTION C | |
| 445141 | TN | -- |
Post Comment/ Review Below
What is the Bradley County Nursing Home's 1801884010?
The Bradley County Nursing Home's NPI (National Provider Identifier) Number is 1801884010. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bradley County Nursing Home's facilities are situated?
The facilities of Bradley County Nursing Home are physically located at the following address: 2910 Peerless Rd Nw, Cleveland, TN, 373123742.
What is Bradley County Nursing Home's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley County Nursing Home's area of specialization is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this field of practice is 313M00000X.
On what date did the Bradley County Nursing Home receive its 1801884010 assignment from the Centers for Medicare & Medicaid Services?
The Bradley County Nursing Home was assigned its 1801884010 by the Centers for Medicare & Medicaid Services on 2005-10-11.
As of what date were the Bradley County Nursing Home's details last updated?
The information pertaining to the Bradley County Nursing Home, including its address, specialty, and other details, was most recently updated on 2010-12-01.