Provider Demographics
NPI:1487693842
Name:NHC HEALTHCARE-CHATTANOOGA LLC
Entity type:Organization
Organization Name:NHC HEALTHCARE-CHATTANOOGA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF LLC
Authorized Official - Prefix:
Authorized Official - First Name:H.
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:NASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-523-2473
Mailing Address - Street 1:2700 PARKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1730
Mailing Address - Country:US
Mailing Address - Phone:423-624-1533
Mailing Address - Fax:
Practice Address - Street 1:2700 PARKWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1730
Practice Address - Country:US
Practice Address - Phone:423-624-1533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL HEALTHCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-04
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN112314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
702016509OtherCARITEN
TN1000613OtherBC BS TN
0140007210OtherHEALTH SOURCE
TN7440032Medicaid
TN0445013Medicaid
702016509OtherCARITEN