REGIONAL MED EXTENDED CARE HOSPITAL LLC NPI 1790197945

NPI Information

NPI: 1790197945
Provider Name: REGIONAL MED EXTENDED CARE HOSPITAL, LLC

Doing Business As: REGIONAL ONE HEALTH EXTENDED CARE HOSPITAL

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 44D2097429

Address:
890 MADISON AVE
4TH FLOOR
MEMPHIS, TN
ZIP 38103
Phone: (901) 515-3000
Get Directions

REGIONAL MED EXTENDED CARE HOSPITAL, LLC is a long term care hospital in Memphis, TN. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. REGIONAL MED EXTENDED CARE HOSPITAL, LLC NPI is 1790197945. The provider is registered as an organization entity type.
The provider Is Doing Business As Regional One Health Extended Care Hospital.

The provider's business location address is:

890 MADISON AVE
4TH FLOOR
MEMPHIS, TN
ZIP 38103-409
Phone: (901) 515-3000

The provider's authorized official is Mark Kelly .
The authorized official title is Administrator and has the following contact phone number (901) 515-3030.

The CLIA number assigned to this NPI record is 44D2097429 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/22/2014 and was last updated on 1/23/2015.

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
1	282E00000X	Long Term Care Hospital		186	TENNESSEE	Yes

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
1	442017	MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

NPI Synchronization or Removal

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