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Sandgala, Llc
Assisted Living Facility in Kingsport, Tennessee
NPI 1437589033

Sandgala, Llc is an Assisted Living Facility based in Kingsport, TN. Sandgala, Llc practices in Kingsport, TN. The NPI Number for Sandgala, Llc is 1437589033 and holds a License No. L000000012140 (Tennessee).

The current practice location address for Sandgala, Llc is 2424 E Stone Dr, Kingsport, TN and can be reached out via phone at 423-378-3100 and via fax at 423-378-5632. You can also correspond with Sandgala, Llc through the mailing address at 2424 E STONE DR, KINGSPORT, TN - 37660-4739 (mailing address contact number: 423-378-3100).

Location: 2424 E Stone Dr, Kingsport, TN, 37660-4739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437589033
Provider Name
Sandgala, Llc
Credential
Provider Entity Type
Organization
Address
2424 E Stone Dr, Kingsport, TN, 37660-4739
Phone Number
423-378-3100
Fax Number
423-378-5632
Provider Enumeration Date
11/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H445537 01 TN TENNCARE/MEDICAID
institution
Provider Business Practice Location Address Details
Address
2424 E Stone Dr
City
Kingsport
State
Tennessee
Zip
37660-4739
Phone Number
423-378-3100
Fax Number
423-378-5632
person
Provider Business Mailing Address Details
Address
2424 E Stone Dr
City
Kingsport
State
Tennessee
Zip
37660-4739
Phone Number
423-378-3100
Fax Number
423-378-5632
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
0000000038 (Tennessee)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
L000000012140 (Tennessee)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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