Provider Demographics
NPI:1093831174
Name:HEALTHCARE MANAGEMENT, INC
Entity Type:Organization
Organization Name:HEALTHCARE MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-265-5101
Mailing Address - Street 1:PO BOX 1765
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38302-1765
Mailing Address - Country:US
Mailing Address - Phone:731-265-5101
Mailing Address - Fax:
Practice Address - Street 1:765 MIFFLIN RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-9064
Practice Address - Country:US
Practice Address - Phone:731-265-5101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3982798Medicaid
TN3982798Medicaid
TN3982798Medicaid