Tennessee State Veterans Home Board in Humboldt - Nursing Facility/intermediate Care Facility
Tennessee State Veterans Home Board - NPI 1093708943
Tennessee State Veterans Home Board is a Nursing Facility/intermediate Care Facility in Humboldt, Tennessee. Tennessee State Veterans Home Board practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Tennessee State Veterans Home Board is 1093708943. The last update date is 2014-04-07.
Tennessee State Veterans Home Board's current location address is 2865 E Main St, Humboldt, Tennessee. You can contact this provider via phone number 7317848405 and fax number 7317842448. The mailing address for Tennessee State Veterans Home Board is 2865 E Main St, Humboldt, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tennessee State Veterans Home Board |
|---|---|
| Address | 2865 E Main St, Humboldt, Tennessee |
| Phone Number | 7317848405 |
| Fax Number | 7317842448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIRMAN |
|---|---|
| Authorized Official Name | Ross Mary |
| Telephone Number | 6152251816 |
NPI Number Detail
| NPI Number | 1093708943 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2014-04-07 |
Provider Mailing Address Detail
| Address | 2865 E Main St |
|---|---|
| City | Humboldt |
| State | Tennessee (TN) |
| Post Code | 383433070 |
| Phone Number | 7317848405 |
| Fax Number | 7317842448 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 346 |
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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 |
|---|---|---|---|
| 3030638 | TN | BLUECROSS BLUESHIELD | |
| 7440578 | TN | -- | |
| 445366 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tennessee State Veterans Home Board by the Centers for Medicare & Medicaid Services (CMS)?
The Tennessee State Veterans Home Board has been assigned the NPI (National Provider Identifier) 1093708943. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Tennessee State Veterans Home Board's physical address?
The Tennessee State Veterans Home Board is physically located at 2865 E Main St, in the city of Humboldt, TN, with the postal code 383433070.
What is Tennessee State Veterans Home Board's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tennessee State Veterans Home Board is Nursing Facility/intermediate Care Facility, and the taxonomy classification code that categorizes this area of expertise is 313M00000X.
When was the Tennessee State Veterans Home Board's 1093708943 issued?
The Tennessee State Veterans Home Board's 1093708943 was issued on 2005-08-25.
As of what date were the details pertaining to Tennessee State Veterans Home Board last refreshed?
The information related to the Tennessee State Veterans Home Board, including its address, specialty, and other relevant details, was last updated on 2014-04-07.