REELFOOT MANOR
NPI 1609942309
Skilled Nursing Facility in Tiptonville, TN

Active since November 27, 2006CLIA 44D0689818 · Waiver
1034 REELFOOT ST, TIPTONVILLE, TN 38079(731) 253-6681(731) 253-8014 Get Directions Write a Review

NPPES record last updated: September 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reelfoot Manor NPPES

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

REELFOOT MANOR (NPI 1609942309) is a healthcare organization registered as a skilled nursing facility in Tiptonville, Tennessee and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tygh A Brogdon, Manager, as its authorized official.

NPPES Registry Identity

NPI1609942309
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNATIONAL ASSISTANCE BUREAU, INC.
Location Address1034 REELFOOT STTiptonville, TN 38079-1607
Mailing Address1145 Hembree RdRoswell, GA 30076-1122 · (770) 650-8773 · Fax (770) 650-9732
Fax(731) 253-8014
Organization SubpartNo
Authorized OfficialTygh A BrogdonManager · (770) 650-8773
Enumeration DateNovember 27, 2006
Last NPPES UpdateSeptember 29, 2008
NPI 1609942309 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 · 0000000151
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.

1034 REELFOOT ST, Tiptonville, TN 38079

Other Names 1

Doing Business AsReelfoot Manor

Other Identifiers 2

Medicaid0445285TN
Medicare ID-Type Unspecified445285TN · Medicare Provider Number

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 44D0689818

Reelfoot Operator, LLC D/B/A Reelfoot Manor · Tiptonville, TN
Active · expires Aug 31, 2026
CLIA Number44D0689818
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBruce Brown
Laboratory Phone(731) 253-6681
Laboratory LocationReelfoot Operator, LLC D/B/A Reelfoot Manor1034 Reelfoot Street, Tiptonville, TN 38079
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 5

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

Skilled Nursing Facility
1034 REELFOOT ST
TIPTONVILLE, TN 38079
Physical Therapist
1034 REELFOOT ST
TIPTONVILLE, TN 38079
Skilled Nursing Facility
1034 REELFOOT ST
TIPTONVILLE, TN 38079
Nurse Practitioner (Family)
1034 REELFOOT ST
TIPTONVILLE, TN 38079
Physical Therapist
1034 REELFOOT ST
TIPTONVILLE, TN 38079

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 National Assistance Bureau, Inc.'s NPI number?

The NPI number for National Assistance Bureau, Inc. is 1609942309. It was assigned to this organization in the NPPES registry on November 27, 2006. The provider is doing business as Reelfoot Manor.

Where is National Assistance Bureau, Inc. located?

National Assistance Bureau, Inc. is located at 1034 Reelfoot St, Tiptonville, TN 38079. The listed phone number is (731) 253-6681.

What is National Assistance Bureau, Inc.'s specialty?

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

Does National Assistance Bureau, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0689818) 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 National Assistance Bureau, Inc. was last updated on September 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.