Ssc Andersonville Operating Company Llc in Andersonville - Nursing Facility/intermediate Care Facility

Ssc Andersonville Operating Company Llc - NPI 1407977069

Ssc Andersonville Operating Company Llc is a Nursing Facility/intermediate Care Facility in Andersonville, Tennessee. Ssc Andersonville Operating Company Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Ssc Andersonville Operating Company Llc is 1407977069. The last update date is 2020-11-11.

Ssc Andersonville Operating Company Llc's current location address is 3382 Andersonville Hwy, Andersonville, Tennessee. You can contact this provider via phone number 8654940986. The mailing address for Ssc Andersonville Operating Company Llc is 3382 Andersonville Hwy, Andersonville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ssc Andersonville Operating Company Llc
Address 3382 Andersonville Hwy, Andersonville, Tennessee
Phone Number 8654940986
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR DIRECTO
Authorized Official Name Santoro C Kelle
Telephone Number 8324675728

NPI Number Detail

NPI Number 1407977069
Provider Enumeration Date 2007-04-02
Last Updated Date 2020-11-11

Provider Mailing Address Detail

Address 3382 Andersonville Hwy
City Andersonville
State Tennessee (TN)
Post Code 377053816
Phone Number 8654940986
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No 5
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0445303 SNF TN --
7440426 ICF TN --

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FAQs about Ssc Andersonville Operating Company Llc

What is the Ssc Andersonville Operating Company Llc's unique identification number?

The Ssc Andersonville Operating Company Llc has been assigned the NPI (National Provider Identifier) Number 1407977069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Ssc Andersonville Operating Company Llc is geographically located?

The Ssc Andersonville Operating Company Llc is physically situated at the following location: 3382 Andersonville Hwy, Andersonville, TN, 377053816.

What is Ssc Andersonville Operating Company Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ssc Andersonville Operating Company Llc's specialized field of practice is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of specialization is 313M00000X.

On what date did the Ssc Andersonville Operating Company Llc receive the assignment of its 1407977069 from the Centers for Medicare & Medicaid Services?

The Ssc Andersonville Operating Company Llc was issued its 1407977069 by the Centers for Medicare & Medicaid Services on 2007-04-02.

When was the information regarding Ssc Andersonville Operating Company Llc most recently updated?

The details pertaining to the Ssc Andersonville Operating Company Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-11-11.

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