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Jimmy R Lewis
Skilled Nursing Facility in Medina, Tennessee
NPI 1730831363

Jimmy R Lewis is a Skilled Nursing Facility based in Johnson City, TN. Jimmy R Lewis practices in Medina, TN. The NPI Number for Jimmy R Lewis is 1730831363 and holds a License No. 0000000308 (Tennessee).

The current practice location address for Jimmy R Lewis is 401 Promise Way Ln, Medina, TN and can be reached out via phone at 731-462-0020 and via fax at 731-435-3638.

Location: 401 Promise Way Ln, Medina, TN, 37604-3127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730831363
Provider Name
Jimmy R Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
401 Promise Way Ln, Medina, TN, 37604-3127
Phone Number
731-462-0020
Fax Number
731-435-3638
Provider Enumeration Date
01/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 Promise Way Ln
City
Medina
State
Tennessee
Zip
38355-6967
Phone Number
731-462-0020
Fax Number
731-435-3638
person
Provider Business Mailing Address Details
Address
401 Promise Way Ln
City
Medina
State
Tennessee
Zip
38355-6967
Phone Number
731-462-0020
Fax Number
731-435-3638
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0000000308 (Tennessee)
Definition
(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.
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