WAYNE COUNTY NURSING HOME NPI 1538156575

NPI Information

  • NPI: 1538156575
  • Provider Name: WAYNE COUNTY NURSING HOME
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Address: 104 JV MANGUBAT DR
    WAYNESBORO, TN
    ZIP 38485
  • Phone: (931) 722-3641

Map and Directions

Get Directions

NPI Details

WAYNE COUNTY NURSING HOME is a nursing facility intermediate care facility in Waynesboro, TN. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. WAYNE COUNTY NURSING HOME NPI is 1538156575. The provider is registered as an organization entity type.

The provider's business location address is:

104 JV MANGUBAT DR
WAYNESBORO, TN
ZIP 38485-439
Phone: (931) 722-3641
Fax: (931) 722-7215

The provider's authorized official is Alice Faye Wright .
The authorized official title is Administrator and has the following contact phone number (931) 722-3641.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 4/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care Facility0000000278TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17440200MEDICAIDTENNESSEE
21255570001MEDICARE NSCTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI