SOUTHEASTERN HEALTH FACILITIES INC (NPI# 1538269865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538269865 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN HEALTH FACILITIES INC |
| Other Organization Name | ETOWAH HEALTH CARE CENTER |
| Practice Address |
409 Grady Rd Etowah TN 37331-1903 |
| Practice Telephone | 4232631138 |
| Practice Fax Number | 4232638876 |
| Mailing Telephone | 4232631138 |
| Mailing Fax Number | 4232638876 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | ROY CHISM (ADMINISTRATOR) |
| Authorized Official Telephone | 4232631138 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 163 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7440321 | 05 | |
| TN | 0445422 | 05 |
| Other Name | Type Code |
|---|---|
| Etowah Health Care Center | Doing Business As Name - Organization |
| Street Address |
409 GRADY RD |
| City | ETOWAH |
| State | TN |
| Zip Code | 37331-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563028 | Sasha Ramirez | Speech-Language Pathologist | 409 Grady Rd, Etowah, TN 37331-1903 | 2018-06-27 |
| 1457840621 | Jaclyn Evans | Occupational Therapist | 409 Grady Rd, Etowah, TN 37331-1903 | 2018-05-03 |
| 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 | 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 |
|---|---|---|---|---|
| 1033191390 | Mcminn Memorial Nursing Home | Skilled Nursing Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093343535 | Marie Carmelle Noel | Skilled Nursing Facility | 800 Sadie Ann Ct, Smyrna, TN 37167-3445 | 2020-03-30 |
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| 1760940613 | Marble City Medical LLC | Skilled Nursing Facility | 7500 Dodson Rd, Knoxville, TN 37920-9734 | 2019-03-11 |
| 1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
| 1285155705 | Stones River Manor, Inc. | Skilled Nursing Facility | 205 Haynes Dr, Murfreesboro, TN 37129-5101 | 2017-07-06 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1639625254 | Emerald Spring Hill, Inc. | Skilled Nursing Facility | 2000 Reserve Boulevard, Spring Hill, TN 37174-2370 | 2016-09-01 |
| 1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
| 1457805186 | Barton Blazer Smith | Skilled Nursing Facility | 210 Busbee Rd, Knoxville, TN 37920-5104 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHEASTERN HEALTH FACILITIES INC.
| 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.