JELLICO COMMUNITY HOSPITAL, INC
NPI 1548580046
Skilled Nursing Facility in Jellico, TN

Active since June 07, 2010
188 HOSPITAL LANE, JELLICO, TN 37762(423) 784-1272(423) 784-1136 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jellico Community Hospital, Inc NPPES

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

JELLICO COMMUNITY HOSPITAL, INC (NPI 1548580046) is a healthcare organization registered as a skilled nursing facility in Jellico, Tennessee and active in the NPI registry since June 2010. The organization lists Evelyn Ghulam, Controller, as its authorized official.

NPPES Registry Identity

NPI1548580046
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJELLICO COMMUNITY HOSPITAL, INC
Location Address188 HOSPITAL LANEJellico, TN 37762-4400
Mailing Address188 Hospital LaneJellico, TN 37762-4400 · (423) 784-1272 · Fax (423) 784-1136
Fax(423) 784-1136
Organization SubpartNo
Authorized OfficialEvelyn GhulamController · (423) 784-1334
Enumeration DateJune 7, 2010
Last NPPES UpdateMarch 10, 2016
NPI 1548580046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
188 HOSPITAL LANE, Jellico, TN 37762

Other Identifiers 1

Other0056883TN · Bluecare

Other Providers at the Same Location NPPES 2

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

Emergency Medicine
188 HOSPITAL LANE
JELLICO, TN 37762
Medicare Defined Swing Bed Unit
188 HOSPITAL LANE
JELLICO, TN 37762

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 Jellico Community Hospital, Inc's NPI number?

The NPI number for Jellico Community Hospital, Inc is 1548580046. It was assigned to this organization in the NPPES registry on June 7, 2010.

Where is Jellico Community Hospital, Inc located?

Jellico Community Hospital, Inc is located at 188 Hospital Lane, Jellico, TN 37762. The listed phone number is (423) 784-1272.

What is Jellico Community Hospital, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Jellico Community Hospital, Inc was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.