DYER NURSING HOME, INC. (NPI# 1841332855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841332855 |
| Entity Type | Organization |
| Organization Name | DYER NURSING HOME, INC. |
| Practice Address |
1124 North Main Dyer TN 38330-0160 |
| Mailing Address |
Po Box 160 Dyer TN 38330-0160 |
| Practice Telephone | 7316924545 |
| Practice Fax Number | 7316924447 |
| Mailing Telephone | 7316924545 |
| Mailing Fax Number | 7316924447 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | MR. JERRY PARK (ADMINISTRATOR) |
| Authorized Official Telephone | 7316924545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 351 | TN | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 351 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7440580 | 05 |
| Street Address |
1124 NORTH MAIN |
| City | DYER |
| State | TN |
| Zip Code | 38330-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063747491 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 S. Peck's Switch, Dyer, TN 38330 | 2009-10-02 |
| 1154656585 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 135 Peck's Switch Cove, Dyer, TN 38330 | 2009-10-02 |
| 1942294574 | Edna R Leitherland | Nurse Practitioner | 1123 N Main St, Dyer, TN 38330-1019 | 2005-09-09 |
| 1750921862 | Nickolas James Simpson | Physician Assistant | 1123 N Main St, Dyer, TN 38330-1019 | 2020-01-07 |
| 1114400587 | Ttrn Medical Services Pllc | Nurse Practitioner | 1123 N Main St, Dyer, TN 38330-1019 | 2018-09-12 |
| 1376712448 | Leitherland Family Care Clinic, Pllc | Clinic/Center | 1123 N Main St, Dyer, TN 38330-1019 | 2008-02-22 |
| 1053618298 | Cassandra Prestininzi | Speech-Language Pathologist | 353 W Broad St, Dyer, TN 38330-1405 | 2011-02-24 |
| 1104445659 | Paul Thomas Blair | Occupational Therapist | 322 E College St, Dyer, TN 38330-1730 | 2020-04-14 |
| 1225011455 | Derek Holyfield | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2005-11-22 |
| 1811197395 | Dyer Station Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 137 S Main St, Dyer, TN 38330-1815 | 2007-07-23 |
| Find all providers in zip 38330 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.