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BRAKEBILL NURSING HOME, INC. , NPI 1942202171

Nursing Facility/Intermediate Care Facility in KNOXVILLE, TN

Last Updated on : Aug 02,2007

About BRAKEBILL NURSING HOME, INC. (NPI 1942202171)


BRAKEBILL NURSING HOME, INC. is a Nursing Facility/Intermediate Care Facility in KNOXVILLE, United States

1942202171 is NPI number of BRAKEBILL NURSING HOME, INC..

BRAKEBILL NURSING HOME, INC.'s primary taxonomy code based on NPI Lookup is 313M00000X with license number 0000000141. This taxonomy code refers to Nursing Facility/Intermediate Care Facility.

BRAKEBILL NURSING HOME, INC. current practice location address is 5837 LYONS VIEW PIKE, KNOXVILLE, TN. BRAKEBILL NURSING HOME, INC. can be reached out via phone at 865-584-3902 and via fax at 865-584-2122 .

You can also correspond with BRAKEBILL NURSING HOME, INC. through mail at mailing address 5837 LYONS VIEW PIKE, KNOXVILLE, TN, United States. Mailing address contact number is 865-584-3902.

The enumeration date of BRAKEBILL NURSING HOME, INC. is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 15 years ago.

The authorized official of BRAKEBILL NURSING HOME, INC. is James Wilkerson (Controller). James Wilkerson can be reached at 8655843902.

1942202171 NPI Information

Name BRAKEBILL NURSING HOME, INC.
National Provider Id (NPI) 1942202171
Entity Type Organization
Practice Address 5837 LYONS VIEW PIKE,
KNOXVILLE, TN, United States
Practice Telephone 865-584-3902
Practice Fax Number 865-584-2122
Mailing Address 5837 LYONS VIEW PIKE ,
KNOXVILLE, TN, United States
Mailing Telephone 865-584-3902
Mailing Fax Number 865-584-2122
Enumeration Date 01-Jun-2005
Last Updated Date 02-Aug-2007

BRAKEBILL NURSING HOME, INC. (NPI 1942202171) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 313M00000X Nursing Facility/Intermediate Care Facility 0000000141 TN

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
1000662 Other (non-Medicare) (01) TN BCBS
313M00000X MEDICAID (05) TN
314000000X MEDICARE ID-Type Unspecified (04)

BRAKEBILL NURSING HOME, INC. (NPI 1942202171) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1891756730 MELISSA DAWN SHOUP Dietitian, Registered 15664 SMOKEY RIDGE RD,
KNOXVILLE, AL, United States
30-Mar-2006
1407477508 ELIZABETH GILL Radiologic Technologist, Radiography 592 PRIVATE ROAD 1699,
KNOXVILLE, AR, United States
29-Apr-2020
1528219854 MARCIA MCGLONE Registered Nurse, Psych/Mental Health 1124 S ROGERS ST STE 3,
CLARKSVILLE, AR, United States
06-Oct-2008
1487316576 ADVOCATE MENTAL HEALTH SERVICES LLC Nurse Practitioner, Psych/Mental Health 1124 S ROGERS ST STE 3,
CLARKSVILLE, AR, United States
06-Oct-2021
1942263728 CRAWFORD COUNTY COMMISSIONERS Ambulance, Land Transport 840 E AGENCY ST,
KNOXVILLE, GA, United States
11-Apr-2006
1245858562 GEORGANNE VOGT Nurse Practitioner, Family 707 GRACE RD,
KNOXVILLE, GA, United States
13-Jul-2020
1992466700 INDIANA TOWNSHIP FIRE DEPARTMENT Ambulance, Land Transport PO BOX 765,
KNOXVILLE, IA, United States
04-Jan-2022
1376131250 SARAH THOMPSON Physical Therapist PO BOX 461,
NEVADA, IA, United States
06-Jan-2021
1386232288 ALLISON IDDINGS Physical Therapy Assistant 1002 S LINCOLN ST,
KNOXVILLE, IA, United States
06-Jan-2021
1649868514 JESSICA STICKEL Physical Therapist PO BOX 461,
NEVADA, IA, United States
06-Jan-2021
1912182122 MARION COUNTY CARE FACILITY OF COMMUNITY CARE, INC Residential Treatment Facility, Intellectual and/or Developmental Disabilities 108 INDUSTRIAL ST,
DE WITT, IA, United States
07-Jan-2008
1922087915 KNOXVILLE COMMUNITY HOSPITAL INC General Acute Care Hospital, Critical Access 1002 SOUTH LINCOLN ST,
KNOXVILLE, IA, United States
10-Jan-2006
1427649896 ROUTE-RIDES LLC Non-emergency Medical Transport (VAN) 908 128TH AVE,
KNOXVILLE, IA, United States
28-Jan-2021
1649716515 RHONDA J. THOMPSON LISW, LLC Community/Behavioral Health 210 S 1ST ST,
KNOXVILLE, IA, United States
16-Jan-2017
1033532718 CATHOLIC HEALTH INITIATIVES-IOWA CORP Ambulance, Air Transport PO BOX 677080,
DALLAS, TX, United States
30-Jan-2014
1851363238 EARL JAVIS WILLIAMS Nurse Anesthetist, Certified Registered 1002 S LINCOLN ST,
KNOXVILLE, IA, United States
01-Feb-2006
1609847938 RUSSELL J REICHERT Psychologist, Counseling 410 E ROBINSON ST,
KNOXVILLE, IA, United States
26-Jan-2006
1760806194 PHILIP JOSEPH SMETHERS Pharmacist 1497 EAST ST,
KNOXVILLE, IA, United States
05-Feb-2014
1699748178 CARE INITIATIVES Skilled Nursing Facility 1611 W LAKES PKWY,
WEST DES MOINES, IA, United States
07-Feb-2006
1275991804 JACKLYN SUE HOSKINS Speech-Language Pathologist, 1208 N LINCOLN ST,
KNOXVILLE, IA, United States
10-Feb-2016

FAQs

Whose NPI Number is 1942202171?

1942202171 is the NPI number of BRAKEBILL NURSING HOME, INC..

Where is BRAKEBILL NURSING HOME, INC. located?

BRAKEBILL NURSING HOME, INC. is located at 5837 LYONS VIEW PIKE, KNOXVILLE, TN.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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