Provider Demographics
NPI:1477576346
Name:BELLS NURSING HOME INC
Entity Type:Organization
Organization Name:BELLS NURSING HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:SILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-663-2335
Mailing Address - Street 1:PO BOX 717
Mailing Address - Street 2:260 HERNDON DRIVE
Mailing Address - City:BELLS
Mailing Address - State:TN
Mailing Address - Zip Code:38006
Mailing Address - Country:US
Mailing Address - Phone:731-663-2335
Mailing Address - Fax:731-663-2399
Practice Address - Street 1:213 HERNDON DR
Practice Address - Street 2:
Practice Address - City:BELLS
Practice Address - State:TN
Practice Address - Zip Code:38006-3654
Practice Address - Country:US
Practice Address - Phone:731-663-2335
Practice Address - Fax:731-663-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000030313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4047061OtherBLUE CROSS BLUE SHIELD
TN0445463Medicaid
TN7440527Medicaid
TN7440527Medicaid