MT JULIET HEALTH CARE CENTER LLC – NPI #1508821752
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.

MT JULIET HEALTH CARE CENTER LLC is a skilled nursing facility (SNF) located in MOUNT JULIET, TN. NPPES has assigned the NPI number 1508821752 to MT JULIET HEALTH CARE CENTER LLC on April 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 5 years ago on May 03, 2021. 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 MT JULIET HEALTH CARE CENTER LLC below.

NPI Profile for
MT JULIET HEALTH CARE CENTER LLC

NPI Number
1508821752
Enumeration Date

(more than 20 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
MT JULIET HEALTH CARE CENTER LLC
Primary location
2650 N MOUNT JULIET RD
MOUNT JULIET, TN 37122
Phone: (615) 758-4100 Fax: (615) 758-5450
Mailing address
P.O, BOX 10
PARSONS, TN 38363-0010
Phone: (731) 847-6343 Fax: (731) 847-4200
Organization Subpart
Yes - MT JULIET HEALTH CARE CENTER LLC is subpart of another organization.
Authorized Official
ROBIN BRADLEY
SECRETARY
Phone: (615) 595-8383
Updated
Certification Date
May 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MT JULIET HEALTH CARE CENTER LLC

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
MEDICAIDTN744-0563
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 0000000322
313M00000X
- Nursing Facility/Intermediate Care Facility
TN 0322

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.