MITCHELL MANOR INC


Address: 152 S College St, Lebanon, TN 37087-3643
Phone: 6154442882

MITCHELL MANOR INC (NPI# 1851423792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851423792
Entity Type Organization
Organization Name MITCHELL MANOR INC
Practice Address 152 S College St
Lebanon
TN 37087-3643
Practice Telephone 6154442882
Practice Fax Number 6154499565
Mailing Telephone 6154442882
Mailing Fax Number 6154499565
Enumeration Date 2007-03-09
Last Update Date 2020-08-22
Authorized Official Name MRS. SUSAN THOMAS (ADMINISTRATOR)
Authorized Official Telephone 6154442882
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 313M00000X Nursing Facility/Intermediate Care Facility 0000000300 TN Nursing & Custodial Care Facilities
X 314000000X Skilled Nursing Facility 0000000300 TN Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN BLUE CROSS BLUESHIELD ID 3016165 01
TN 7440431 05
TN 0445332 05

Office Location

Street Address 152 S COLLEGE ST
City LEBANON
State TN
Zip Code 37087-3643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184819740 Community Progress Committee Inc. The Pavilion Cpc Nursing Facility/Intermediate Care Facility 152 S College St, Lebanon, TN 37087-3643 2007-09-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467051698 Results-ast Jv, LLC Physical Therapist 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 2020-10-19
1306405725 Angela Kurtz Hearing Instrument Specialist 1430 West Baddour Parkwayste D, Lebanon, TN 37087 2019-06-10
1164926937 Andrea Christine Morrisett Physical Therapist 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 2018-03-19
1942731492 Rocky Mountain Holdings, LLC Ambulance 760d Franklin Rd, Lebanon, TN 37087 2017-03-27
1326409285 Karina Lawrence Speech-Language Pathologist 1006 Keaton Street, Lebanon, TN 37087 2016-03-18
1174910491 Yehualashet Bekele Hailemariam Internal Medicine 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 2015-04-24
1043614829 Jean Thompson Behavioral Analyst 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 2014-10-22
1588072771 La Keisha Fair Community Health Worker 1 Cumberland Square, Lebanon, TN 37087 2014-07-31
1023440609 James Martin Meadows Specialist/Technologist One Cumberland Square, Lebanon, TN 37087 2013-08-06
1336571231 Lori Ann De Leo Social Worker 109 Autumn Creek, Lebanon, TN 37087 2013-08-01
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy 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 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649484015 Village of Lebanon II, LLC Nursing Facility/Intermediate Care Facility 105 Village Way, Lebanon, KY 40033-1845 2007-05-09
1033569462 Quality Center for Rehabilitation and Healing Nursing Facility/Intermediate Care Facility 932 E Baddour Pkwy, Lebanon, TN 37087-3707 2016-06-16
1649689423 Cedar Haven Acquisition LLC Nursing Facility/Intermediate Care Facility 590 S 5th Ave, Lebanon, PA 17042-9195 2014-08-06
1730424474 Daviess County Hospital Nursing Facility/Intermediate Care Facility 301 W Essex St, Lebanon, IN 46052-1755 2012-12-06
1184819740 Community Progress Committee Inc. The Pavilion Cpc Nursing Facility/Intermediate Care Facility 152 S College St, Lebanon, TN 37087-3643 2007-09-07

Providers in the same taxonomy and state

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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Competitor

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City LEBANON
Zip Code 37087

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Dataset Information

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.

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