CROCKETT COUNTY NURSING HOME, INC.
NPI 1497807119
Nursing Facility/Intermediate Care Facility in Alamo, TN

Q: What is Crockett County Nursing Home, Inc.'s NPI number?

The NPI number for Crockett County Nursing Home, Inc. is 1497807119. It was assigned to this organization in the NPPES registry on January 16, 2007.

Q: What is Crockett County Nursing Home, Inc.'s specialty?

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

Active since January 16, 2007CLIA 44D0659297 · Waiver

580 WEST MAIN STREET, ALAMO, TN 38001(731) 696-4541(731) 696-4948 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crockett County Nursing Home, Inc. NPPES

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

CROCKETT COUNTY NURSING HOME, INC. (NPI 1497807119) is a healthcare organization registered as a nursing facility/intermediate care facility in Alamo, Tennessee and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Barbara Park, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497807119

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameCROCKETT COUNTY NURSING HOME, INC.

Location Address580 WEST MAIN STREETAlamo, TN 38001-0367

Mailing AddressPo Box 367Alamo, TN 38001-0367 · (731) 696-4541 · Fax (731) 696-4948

Phone(731) 696-4541

Fax(731) 696-4948

Organization SubpartNo

Authorized OfficialBarbara ParkAdministrator · (731) 696-4541

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJune 23, 2020

NPPES CertifiedJune 23, 2020

✔ NPI 1497807119 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 · 0000000029

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

580 WEST MAIN STREET, Alamo, TN 38001

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Other Identifiers 2

Other0445467TN · Medicaid Level Ii

Medicaid7440325TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

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 44D0659297

Crockett County Nursing Home Inc Dba Alamo Nursing And Rehabilitation Center · Alamo, TN

Active · expires Aug 31, 2026

CLIA Number44D0659297

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorAndrea Mckinnie

Laboratory Phone(731) 696-4541

Laboratory LocationCrockett County Nursing Home Inc Dba Alamo Nursing And Rehabilitation Center580 West Main St, Alamo, TN 38001

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Crockett County Nursing Home, Inc.'s NPI number?

The NPI number for Crockett County Nursing Home, Inc. is 1497807119. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Crockett County Nursing Home, Inc. located?

Crockett County Nursing Home, Inc. is located at 580 West Main Street, Alamo, TN 38001. The listed phone number is (731) 696-4541.

What is Crockett County Nursing Home, Inc.'s specialty?

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

Does Crockett County Nursing Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0659297) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crockett County Nursing Home, Inc. accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Crockett County Nursing Home, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crockett County Nursing Home, Inc. was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.