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Contact Information

HUMPHREYS COUNTY CARE AND REHABILITATION
104 FORT HILL RD
WAVERLY, TN37185-2128
 Phone: 931-296-2532
 Fax: 931-296-0829
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Care

251J00000X
 

Nursing Facility/Intermediate Care Facility

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

NPI Profile & details for HUMPHREYS COUNTY CARE AND REHABILITATION

NPI # 1881749596
LBN Legal business name HUMPHREYS COUNTY CARE AND REHABILITATION
Authorized official JANET PULLEY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2007
Last updated 01/05/2026 - About 5 months ago
Identifiers
TN License # 0000000135
TN License # 0135
TN Medicaid 7440099
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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