MCMINN MEMORIAL NURSING HOME (NPI# 1033191390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033191390 |
| Entity Type | Organization |
| Organization Name | MCMINN MEMORIAL NURSING HOME |
| Practice Address |
886 Highway 411 N Etowah TN 37331-1912 |
| Practice Telephone | 4232633600 |
| Practice Fax Number | 4232633607 |
| Mailing Telephone | 4232633600 |
| Mailing Fax Number | 4232633607 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | MRS. NANCY D MORRIS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4232633779 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 0000000165 | TN | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000165 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS OF TENNESSEE | 1000652 | 01 |
| TN | 0445277 | 05 | |
| TN | 7440131 | 05 |
| Street Address |
886 HIGHWAY 411 N |
| City | ETOWAH |
| State | TN |
| Zip Code | 37331-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156619 | Daniel Dorn Hignight Jr. | Nurse Anesthetist, Certified Registered | 886 Highway 411 N, Etowah, TN 37331-1912 | 2005-07-04 |
| 1730542309 | Athens Physicians Practice, LLC | Family Medicine | 886 Highway 411 N, Suite A, Etowah, TN 37331-1912 | 2016-03-31 |
| 1033585930 | Beckey Buck | Nurse Practitioner | 886 Highway 411 N, Etowah, TN 37331-1912 | 2015-08-13 |
| 1124456389 | Athens Regional Medical Center LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2013-10-28 |
| 1417399767 | Lachelle Renee Cardin | Occupational Therapy Assistant | 886 Highway 411 N, Etowah, TN 37331-1912 | 2013-07-26 |
| 1134480155 | Woods Memorial Hospital LLC | General Acute Care Hospital | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
| 1114288131 | Woods Memorial Hospital LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
| 1215298237 | Woods Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
| 1114288511 | Woods Memorial Hospital LLC | Psychiatric Unit | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-01 |
| 1427387653 | Jackie W Berry | Dietitian, Registered | 886 Highway 411 N, Etowah, TN 37331-1912 | 2009-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081277 | K Va T Food Stores, Inc | Durable Medical Equipment & Medical Supplies | 841 Us 411 North, Etowah, TN 37331 | 2015-08-24 |
| 1891979969 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 410 Grady Road, Etowah, TN 37331 | 2007-12-24 |
| 1992835037 | Jarrett Swafford | Pharmacist | 733 Lawrence St, Etowah, TN 37331 | 2007-03-07 |
| 1982750402 | Yung Gil Lee | General Practice | 315 Grady Rd, Etowah, TN 37331 | 2007-01-26 |
| 1770636227 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 733 Lawrence Street, Etowah, TN 37331 | 2007-01-19 |
| 1356499172 | Tennessee Cancer Specialists, Pllc | Internal Medicine | Highway 411 North, Etowah, TN 37331 | 2007-01-08 |
| 1831265941 | Charles David Brown | Dentist | 920 Highway 411 North, Etowah, TN 37331 | 2006-11-28 |
| 1326066788 | Jeffrey Allan Anderson | Pharmacist | 725 Tennessee Ave, Etowah, TN 37331 | 2006-07-17 |
| 1316920135 | Air Evac Ems Inc | Ambulance | 100 Robinson St, Etowah, TN 37331 | 2005-11-25 |
| 1134185358 | Nathan Craig Trentham | Internal Medicine | 301 Grady Road, Etowah, TN 37331-0325 | 2006-04-25 |
| Find all providers in zip 37331 | ||||
| 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 |
|---|---|---|---|---|
| 1124456389 | Athens Regional Medical Center LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2013-10-28 |
| 1114288131 | Woods Memorial Hospital LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
| 1619155413 | Doctors Hospital of Mcminn County, LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2008-02-04 |
| 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.