Tri State Manor, LLC
Skilled Nursing Facility · Harrogate, TN
Practice location
600 Shawanee RdHarrogate, TN 37752-8305
- Phone
- (423) 869-5376
- Fax
- (423) 869-4107
NPI record
- NPI
- 1407843030
- Entity type
- Organization (Type 2)
- Enumeration date
- September 29, 2005
- Last updated
- April 27, 2015
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
0000000038 | TN |
Authorized official
- Name
- Mr. W Stewart Swain, CFO
- Title
- Owner- Financial Officer
- Phone
- (843) 449-0215
Other names
- Tri State Health and Rehabilitation Center
About Tri State Manor, LLC
Tri State Manor, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 600 Shawanee Rd, Harrogate, TN 37752-8305. The NPI number 1407843030 was assigned on September 29, 2005 and the record was last updated on April 27, 2015.
Tri State Manor, LLC lists a license in the registry: #0000000038 (TN) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Mr. W Stewart Swain, CFO, Owner- Financial Officer.
Frequently asked questions
What is the NPI number of Tri State Manor, LLC?
The NPI number is 1407843030.
What is the phone number of Tri State Manor, LLC?
The phone number listed for the practice location is (423) 869-5376.
Where is Tri State Manor, LLC located?
600 Shawanee Rd, Harrogate, TN 37752-8305.
What is the taxonomy code for Tri State Manor, LLC?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Skilled Nursing Facility providers in Harrogate
- Raven Lake Healthcare, Inc.600 Shawanee Rd