Provider Demographics
NPI:1073555421
Name:INTEGRITY HEALTHCARE OF CELINA, LLC
Entity Type:Organization
Organization Name:INTEGRITY HEALTHCARE OF CELINA, LLC
Other - Org Name:CELINA HEALTH AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLCOMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-834-3188
Mailing Address - Street 1:120 PITCOCK LN
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TN
Mailing Address - Zip Code:38551-4058
Mailing Address - Country:US
Mailing Address - Phone:931-243-3139
Mailing Address - Fax:931-243-3169
Practice Address - Street 1:120 PITCOCK LN
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TN
Practice Address - Zip Code:38551-4058
Practice Address - Country:US
Practice Address - Phone:931-243-3139
Practice Address - Fax:931-243-3169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7440454Medicaid
TN7440454Medicaid