Provider Demographics
NPI:1699711192
Name:NHC HEALTHCARE-JOHNSON CITY LLC
Entity type:Organization
Organization Name:NHC HEALTHCARE-JOHNSON CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER LLC
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:NASON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:865-690-9900
Mailing Address - Street 1:3209 BRISTOL HWY
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1515
Mailing Address - Country:US
Mailing Address - Phone:423-282-3311
Mailing Address - Fax:
Practice Address - Street 1:3209 BRISTOL HWY
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-1515
Practice Address - Country:US
Practice Address - Phone:423-282-3311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL HEALTHCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-22
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN291314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7440039Medicaid
702012616OtherCARITEN
TN0445024Medicaid
TN1000624OtherBCBS
702012616OtherCARITEN