LAKEBRIDGE A WATERS COMMUNITY LLC is a skilled nursing facility in Johnson City, TN. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. LAKEBRIDGE A WATERS COMMUNITY LLC NPI is 1043763592. The provider is registered as an organization entity type.
The provider's business location address is:
115 WOODLAWN DR
JOHNSON CITY, TN
ZIP 37604-978
Phone: (423) 975-0095
Fax: (423) 928-0358
The provider's authorized official is Moishe Gubin .
The authorized official title is Member and has the following contact phone number (708) 449-1900.
The CLIA number assigned to this NPI record is 44D0935514 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/2/2016 and was last updated on 8/2/2016.