Provider Demographics
NPI:1699720565
Name:NHC HEALTHCARE-OAKWOOD, LLC
Entity type:Organization
Organization Name:NHC HEALTHCARE-OAKWOOD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF LLC
Authorized Official - Prefix:
Authorized Official - First Name:D
Authorized Official - Middle Name:DORAN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-424-1456
Mailing Address - Street 1:244 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-3153
Mailing Address - Country:US
Mailing Address - Phone:931-359-3563
Mailing Address - Fax:
Practice Address - Street 1:244 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-3153
Practice Address - Country:US
Practice Address - Phone:931-359-3563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL HEALTHCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-22
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN178314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0414553OtherHEALTHSPRING
TN0445002Medicaid
TN1000602OtherBCBS TN
TN7440158Medicaid
445002Medicare Oscar/Certification