Provider Demographics
NPI:1013074848
Name:GALLATIN HEALTH CARE CENTER, LLC
Entity Type:Organization
Organization Name:GALLATIN HEALTH CARE CENTER, LLC
Other - Org Name:GALLATIN HEALTH CARE ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIXIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR-HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-452-2322
Mailing Address - Street 1:438 N WATER AVE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2306
Mailing Address - Country:US
Mailing Address - Phone:615-452-2322
Mailing Address - Fax:615-452-9140
Practice Address - Street 1:438 N WATER AVE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2306
Practice Address - Country:US
Practice Address - Phone:615-452-2322
Practice Address - Fax:615-452-9140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN267313M00000X
TN445183314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7440493Medicaid
TN0445183Medicaid
TN1452451Medicaid
TN1272800001Medicare ID - Type Unspecified
TN7440493Medicaid