Provider Demographics
NPI:1528403474
Name:JOHN REED HEALTHCARE & REHAB LLC
Entity Type:Organization
Organization Name:JOHN REED HEALTHCARE & REHAB LLC
Other - Org Name:JOHN M. REED HEALTH & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-648-6750
Mailing Address - Street 1:124 JOHN M REED RD
Mailing Address - Street 2:
Mailing Address - City:LIMESTONE
Mailing Address - State:TN
Mailing Address - Zip Code:37681-2681
Mailing Address - Country:US
Mailing Address - Phone:423-257-6122
Mailing Address - Fax:
Practice Address - Street 1:124 JOHN M REED RD
Practice Address - Street 2:
Practice Address - City:LIMESTONE
Practice Address - State:TN
Practice Address - Zip Code:37681-2681
Practice Address - Country:US
Practice Address - Phone:423-257-6122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
445514Medicare Oscar/Certification