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Contact Information

CHRISTIAN HOME FOR THE AGED, INC.
2012 SHERWOOD DRIVE
JOHNSON CITY, TN37601-5230
 Phone: 423-232-8200
 Fax: 423-610-8515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

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

NPI Profile & details for CHRISTIAN HOME FOR THE AGED, INC.

NPI Number 1972684447
LBN Legal business name CHRISTIAN HOME FOR THE AGED, INC.
Authorized official JERI LINTHICUM - (VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 04/07/2016 - About 10 years ago
Identifiers
TN License # 0289
TN License # 289
TN Medicaid 7440022
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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