TRI COUNTY HEALTHCARE CENTER
NPI 1063605681
Skilled Nursing Facility in Adamsville, TN

Active since August 27, 2007CLIA 44D0315581 · Waiver
409 PARK AVE, ADAMSVILLE, TN 38310(731) 632-3301 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri County Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI COUNTY HEALTHCARE CENTER (NPI 1063605681) is a healthcare organization registered as a skilled nursing facility in Adamsville, Tennessee and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Alice Marie Clark Danks, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1063605681
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameADAMSVILLE HEALTHCARE LLC
Location Address409 PARK AVEAdamsville, TN 38310-2461
Mailing AddressPo Box 325Adamsville, TN 38310-0325 · (731) 632-3301
Organization SubpartNo
Authorized OfficialAlice Marie Clark DanksVp Of Finance · (423) 308-1845
Enumeration DateAugust 27, 2007
Last NPPES UpdateApril 22, 2008
NPI 1063605681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TN · 0144
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.
409 PARK AVE, Adamsville, TN 38310

Other Names 1

Doing Business AsTri County Healthcare Center

Other Identifiers 2

Medicaid0445397TN
Medicare OSCAR/certification445397TN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0315581

Adamsville Healthcare · Adamsville, TN
Active · expires Aug 31, 2026
CLIA Number44D0315581
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCody Hardin
Laboratory Phone(731) 632-3301
Laboratory LocationAdamsville Healthcare409 Park Avenue, Adamsville, TN 38310
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
409 PARK AVE
ADAMSVILLE, TN 38310
Occupational Therapist
409 PARK AVE
ADAMSVILLE, TN 38310
Skilled Nursing Facility
409 PARK AVE
ADAMSVILLE, TN 38310
Occupational Therapy Assistant
409 PARK AVE
ADAMSVILLE, TN 38310
Occupational Therapist
409 PARK AVE
ADAMSVILLE, TN 38310
Skilled Nursing Facility
409 PARK AVE
ADAMSVILLE, TN 38310
Occupational Therapy Assistant
409 PARK AVE
ADAMSVILLE, TN 38310
Skilled Nursing Facility
409 PARK AVE
ADAMSVILLE, TN 38310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adamsville Healthcare LLC's NPI number?

The NPI number for Adamsville Healthcare LLC is 1063605681. It was assigned to this organization in the NPPES registry on August 27, 2007. The provider is doing business as Tri County Healthcare Center.

Where is Adamsville Healthcare LLC located?

Adamsville Healthcare LLC is located at 409 Park Ave, Adamsville, TN 38310. The listed phone number is (731) 632-3301.

What is Adamsville Healthcare LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Adamsville Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0315581) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adamsville Healthcare LLC was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.