Provider Demographics
NPI:1558411538
Name:AMERICARE LONG TERM SPECIALTY HOSPITAL, LLC
Entity Type:Organization
Organization Name:AMERICARE LONG TERM SPECIALTY HOSPITAL, LLC
Other - Org Name:AMERICARE HEALTH AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CHIEF MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-369-9100
Mailing Address - Street 1:3391 OLD GETWELL RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-3635
Mailing Address - Country:US
Mailing Address - Phone:901-369-9100
Mailing Address - Fax:901-367-8702
Practice Address - Street 1:3391 OLD GETWELL RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-3635
Practice Address - Country:US
Practice Address - Phone:901-369-9100
Practice Address - Fax:901-367-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000249313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7440209Medicaid
TN0445125Medicaid
TN0445125Medicaid