FAYETTEVILLE CARE AND REHABILITATION CENTER
NPI 1801843313
Skilled Nursing Facility in Fayetteville, TN

NPI Status: Active since May 28, 2006

Contact Information

4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN
ZIP 37334
Phone: (931) 433-9973
Fax: (931) 433-4693

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  • Organization
  • Skilled Nursing Facility

About FAYETTEVILLE CARE AND REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Fayetteville Care And Rehabilitation Center, a provider established in Fayetteville, Tennessee operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1801843313 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number 0000000305 (TN). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Fayetteville Care And Rehabilitation Center. The authorized official of this NPI record is William A. Mathies (President Director)

NPI
1801843313
Provider Legal Name
SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC
Other Organization Name
FAYETTEVILLE CARE AND REHABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4081 THORNTON TAYLOR PKWY FAYETTEVILLE, TN 37334
Location Phone
(931) 433-9973
Location Fax
(931) 433-4693
Mailing Address
101 SUN AVE NE COMPLIANCE DEPARTMENT ALBUQUERQUE, NM 87109
Mailing Phone
(505) 468-5604
Mailing Fax
(931) 433-4693
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-28-2006
Last Update Date
08-17-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
0000000305
License State
TN
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM A. MATHIES

Authorized Official Title
PRESIDENT DIRECTOR
Authorized Official Phone
(505) 468-5013

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========OTHER (01)FIRST HEALTH
=========OTHER (01)CONNECTICUT GENERAL
=========OTHER (01)STERLING LIFE
=========OTHER (01)UNITED H.C
445320OTHER (01)AARP
#3033966OTHER (01)TNBLUE CROSS/BLUE SHIELD OF
7440356MEDICAID (05)TN 
=========OTHER (01)CIGNA H.C.
=========OTHER (01)UNITED AMERICAN
0445320MEDICAID (05)TN 
=========OTHER (01)CONTINENTAL LIFE
=========OTHER (01)MUTUAL OF OMAHA
=========OTHER (01)UNITED TEACHERS ASSOCIATE

Reviews for FAYETTEVILLE CARE AND REHABILITATION CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801843313
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801164632
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 6 + 4 + 6 + 3 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1801843313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063759173MRS. HEATHER OGLE JOHNSON MEDCCCSLP
Individual
Speech-Language Pathologist4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9797
1124422746 DENNING HARDER PT
Individual
Physical Therapist4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973
1659707743FAYETTEVILLE HEALTHCARE, LLC
Organization
Skilled Nursing Facility4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9773
1477011468ELK RIVER HEALTH & NURSING CENTER OF FAYETTEVILLE LLC
Organization
Skilled Nursing Facility4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973
1295512606MR. STEVEN KEITH WILEY
Individual
Physical Therapy Assistant4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973
1437937919 ASHLEY MARIE BALL COTA/L.
Individual
Occupational Therapy Assistant4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973
1528846995 HANNAH NICOLE PARKER
Individual
Nurse's Aide4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973
1538494323 KAREN MARGUERITE MITCHELL
Individual
Physical Therapist4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973
1538947072 JULIE TATE
Individual
Physical Therapy Assistant4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973
1649057878 LAILA AL-HAMMADI
Individual
Occupational Therapy Assistant4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973
1356113286 BRENDA MICHELE DAVIS LPTA
Individual
Physical Therapy Assistant4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973
1457172280 THOMAS SMITH
Individual
Physical Therapy Assistant4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN 37334
(931) 433-9973

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801843313, enumerated in the NPI registry as an "organization" on May 28, 2006

The provider is located at 4081 Thornton Taylor Pkwy Fayetteville, Tn 37334 and the phone number is (931) 433-9973

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.