UNITED REGIONAL MEDICAL CENTER NURSING HOME – NPI #1063509271
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

UNITED REGIONAL MEDICAL CENTER NURSING HOME is a skilled nursing facility (SNF) located in MANCHESTER, TN. NPPES has assigned the NPI number 1063509271 to UNITED REGIONAL MEDICAL CENTER NURSING HOME on October 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UNITED REGIONAL MEDICAL CENTER NURSING HOME” is a dba name, the actual legal business name for this organization is COFFEE MEDICAL GROUP LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 18 years ago on Jun 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UNITED REGIONAL MEDICAL CENTER NURSING HOME below.

NPI Profile for
COFFEE MEDICAL GROUP LLC

NPI Number
1063509271
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COFFEE MEDICAL GROUP LLC
Doing Business As (dba): UNITED REGIONAL MEDICAL CENTER NURSING HOME
Primary location
1001 MCARTHUR DRIVE
MANCHESTER, TN 37355
Phone: (931) 728-3586 Fax: (931) 723-0781
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HOLLY HOPKINS
BUSINESS OFFICE MANAGER
Phone: (931) 461-3425
Updated
Identifiers

Identifiers for UNITED REGIONAL MEDICAL CENTER NURSING HOME

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSTN4039933
MEDICAIDTN0445383
MEDICAIDTN7440354
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
TN 445383
313M00000X
- Nursing Facility/Intermediate Care Facility
TN 7440354

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.