CENTERVILLE MEDICAL INVESTORS, LLC (NPI# 1326074402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326074402 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE MEDICAL INVESTORS, LLC |
| Other Organization Name | LIFE CARE CENTER OF CENTERVILLE |
| Practice Address |
112 Old Dickson Road Centerville TN 37033 |
| Mailing Address |
3001 Keith St Nw Cleveland TN 37312-3713 |
| Practice Telephone | 9317294236 |
| Practice Fax Number | 9317295489 |
| Mailing Telephone | 4234735751 |
| Mailing Fax Number | 4233398342 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | CINDY S CROSS (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 4234735867 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 131 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 744-0350 | 05 |
| Other Name | Type Code |
|---|---|
| Life Care Center of Centerville | Doing Business As Name - Organization |
| Street Address |
112 OLD DICKSON ROAD |
| City | CENTERVILLE |
| State | TN |
| Zip Code | 37033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225550031 | Saint Thomas Health | Pharmacy | 150 East Swan Street, Centerville, TN 37033 | 2017-07-13 |
| 1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1053543256 | Sandra Elliott Tinnin | Midwife | 1180 Sulpher Creek Rd., Centerville, TN 37033 | 2009-08-20 |
| 1225267578 | Charlotte Maricia Staggs | Counselor | 820 Highway 100, #3, Centerville, TN 37033 | 2009-07-08 |
| 1083742084 | Centerstone | Community/Behavioral Health | 704 Highway 100, Suite101, Centerville, TN 37033 | 2007-03-01 |
| 1972684074 | Christy Hulan Mays | Pharmacist | 401 West Public Square, Centerville, TN 37033 | 2006-10-17 |
| 1992718688 | Saint Thomas Hickman Hospital | Clinic/Center | 150 E Swan Street, Centerville, TN 37033 | 2006-08-14 |
| 1528090552 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1797 Hwy 100 East, Centerville, TN 37033 | 2006-07-07 |
| 1649251299 | County of Hickman Office of County Executive | Ambulance | 106 E. Swan St, Centerville, TN 37033 | 2005-11-10 |
| Find all providers in zip 37033 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1467813030 | Chi Living Communities | Skilled Nursing Facility | 1203 Schervier Ct, Centerville, OH 45458-2778 | 2016-03-10 |
| 1992977516 | Otterbein Clearcreek, LLC | Skilled Nursing Facility | 9320 Avalon Circle, Centerville, OH 45458 | 2008-03-25 |
| 1801836655 | Heartland of Centerville Oh LLC | Skilled Nursing Facility | 1001 E Alex Bell Rd, Centerville, OH 45459-2637 | 2006-06-08 |
| 1851361406 | Care Initiatives | Skilled Nursing Facility | 1208 E Cross St, Centerville, IA 52544-3501 | 2006-01-25 |
| 1942299185 | Cape Regency Ma Snf LLC | Skilled Nursing Facility | 120 South Main Street, Centerville, MA 02632 | 2005-10-20 |
| 1295722015 | Centerville Healthcare Center | Skilled Nursing Facility | 103 Teakwood, Centerville, TX 75833-2497 | 2005-10-06 |
| 1417445230 | Centerville Care & Rehab Center Inc | Skilled Nursing Facility | 500 Vermillion St, Centerville, SD 57014-2168 | 2018-04-26 |
| 1457752297 | Golden Age Properties LLC | Skilled Nursing Facility | 1915 S 18th St, Centerville, IA 52544-3102 | 2014-09-11 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 37033 |
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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.