Provider Demographics
NPI:1962725242
Name:CAH ACQUISITION COMPANY 11 LLC
Entity type:Organization
Organization Name:CAH ACQUISITION COMPANY 11 LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:LAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-221-2200
Mailing Address - Street 1:326 ASBURY AVE
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:TN
Mailing Address - Zip Code:38063-5577
Mailing Address - Country:US
Mailing Address - Phone:731-221-2200
Mailing Address - Fax:731-221-2499
Practice Address - Street 1:326 ASBURY AVE
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:TN
Practice Address - Zip Code:38063
Practice Address - Country:US
Practice Address - Phone:731-221-2200
Practice Address - Fax:731-221-2499
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAH ACQUISITION COMPANY 11 LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-01
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN44Z314Medicare Oscar/Certification