Provider Demographics
NPI:1568705465
Name:TREVECCA H&R NURSING, LLC
Entity Type:Organization
Organization Name:TREVECCA H&R NURSING, LLC
Other - Org Name:TREVECCA HEALTH & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BOYD
Authorized Official - Middle Name:P
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-869-5118
Mailing Address - Street 1:329 MURFREESBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-2834
Mailing Address - Country:US
Mailing Address - Phone:615-244-6900
Mailing Address - Fax:615-255-1893
Practice Address - Street 1:329 MURFREESBORO PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-2834
Practice Address - Country:US
Practice Address - Phone:615-244-6900
Practice Address - Fax:615-255-1893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility