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Contact Information

BRAKEBILL NURSING HOME, INC.
5837 LYONS VIEW PIKE
KNOXVILLE, TN37919-6474
 Phone: 865-584-3902
 Fax: 865-584-2122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for BRAKEBILL NURSING HOME, INC.

NPI # 1942202171
LBN Legal business name BRAKEBILL NURSING HOME, INC.
Authorized official JAMES WILKERSON - (CONTROLLER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/01/2005
Last updated 08/02/2007 - About 19 years ago
Identifiers
TN License # 0000000141
TN Medicaid 313M00000X
TN Other 1000662 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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