WATERS OF GAINESBORO LLC
NPI 1891568804
Skilled Nursing Facility in Gainesboro, TN

NPI Status: Active since November 01, 2023

Contact Information

1340 N GRUNDY QUARLES HWY
GAINESBORO, TN
ZIP 38562
Phone: (931) 268-0291

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  • Organization
  • Skilled Nursing Facility

About WATERS OF GAINESBORO LLC

This page provides the complete NPI Profile along with additional information for Waters Of Gainesboro Llc, a provider established in Gainesboro, Tennessee operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1891568804 assigned on November 2023. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jeffrey Sax (Manager)

NPI
1891568804
Provider Name
WATERS OF GAINESBORO LLC
Entity Type
Organization
Location Address
1340 N GRUNDY QUARLES HWY GAINESBORO, TN 38562
Location Phone
(931) 268-0291
Mailing Address
1340 N GRUNDY QUARLES HWY GAINESBORO, TN 38562
Mailing Phone
(931) 268-0291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2023
Last Update Date
11-01-2023
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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
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.

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

JEFFREY SAX

Authorized Official Title
MANAGER
Authorized Official Phone
(269) 281-4200

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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.
1891568804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281811061680
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 1 + 0 + 6 + 1 + 6 + 8 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1891568804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891454237 TIMOTHY CRABTREE PTA
Individual
Physical Therapy Assistant1340 N GRUNDY QUARLES HWY
GAINESBORO, TN 38562
(931) 268-0291
1114040292THOMAS J MABRY & ASSOCIATES, INC.
Organization
Nursing Facility/Intermediate Care Facility1340 N GRUNDY QUARLES HWY
GAINESBORO, TN 38562
(931) 268-0291
1235819301MS. ERIN KATE STOOKSBURY
Individual
Occupational Therapy Assistant1340 N GRUNDY QUARLES HWY
GAINESBORO, TN 38562
(800) 554-0291
1669152740 MICHAEL ALCORN
Individual
Physical Therapist1340 N GRUNDY QUARLES HWY
GAINESBORO, TN 38562
(800) 554-0291
1871273656 TRAVIS JONES
Individual
Physical Therapy Assistant1340 N GRUNDY QUARLES HWY
GAINESBORO, TN 38562
(800) 554-0291
1891551784 HEATHER STAFFORD
Individual
Nurse Practitioner1340 N GRUNDY QUARLES HWY
GAINESBORO, TN 38562
(931) 268-0291
1659129633WATERS OF GAINESBORO ASSISTED LIVING FACILITY
Organization
Assisted Living Facility1340 N GRUNDY QUARLES HWY
GAINESBORO, TN 38562
(931) 268-0291

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891568804, enumerated in the NPI registry as an "organization" on November 01, 2023

The provider is located at 1340 N Grundy Quarles Hwy Gainesboro, Tn 38562 and the phone number is (931) 268-0291

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

This NPI record was last updated on November 01, 2023. 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].
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