MABRY HEALTH CARE & REHAB CENTER - NPI 1114040292 - Nursing Facility/Intermediate Care Facility in Gainesboro, TN

Q: What is Thomas J Mabry & Associates, Inc.'s NPI number?

The NPI number for Thomas J Mabry & Associates, Inc. is 1114040292. It was assigned to this organization in the NPPES registry on April 6, 2007. The provider is doing business as Mabry Health Care & Rehab Center.

Q: What is Thomas J Mabry & Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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About Mabry Health Care & Rehab Center NPPES

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

MABRY HEALTH CARE & REHAB CENTER (NPI 1114040292) is a healthcare organization registered as a nursing facility/intermediate care facility in Gainesboro, Tennessee and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Diana Reich, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114040292

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameTHOMAS J MABRY & ASSOCIATES, INC.

Location Address1340 N GRUNDY QUARLES HWYGainesboro, TN 38562

Mailing AddressPo Box 7, 1340 N Grundy Quarles HighwayGainesboro, TN 38562 · (931) 268-0291 · Fax (931) 268-9241

Phone(931) 268-0291

Fax(931) 268-9241

Organization SubpartNo

Authorized OfficialDiana ReichCfo · (931) 268-0291

Enumeration DateApril 6, 2007

Last NPPES UpdateMarch 17, 2022

NPPES CertifiedMarch 17, 2022

✔ NPI 1114040292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in TN · 0000000136

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 0000000136 (TN)

1340 N GRUNDY QUARLES HWY, Gainesboro, TN 38562

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Other Names 1

Doing Business AsMabry Health Care & Rehab Center

Other Identifiers 2

Medicaid0445272TN

Medicaid7440362TN

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 44D0316255

Mabry Health Care & Rehabilitation Center · Gainesboro, TN

Active · expires Apr 11, 2028

CLIA Number44D0316255

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateApril 12, 2026

Certificate Expiration DateApril 11, 2028

Laboratory DirectorJudith A. Yost

Laboratory Phone(931) 268-0291

Laboratory LocationMabry Health Care & Rehabilitation Center1340 N Grundy Quarles Hwy, Gainesboro, TN 38562

CLIA data matches this NPI record on: Address 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.

JENNA RAE WATSON-DUNCAN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)