DAC OF ETOWAH LLC
NPI 1699531491
Skilled Nursing Facility in Etowah, TN

Active since February 28, 2024CLIA 44D0309509 · Waiver
409 GRADY RD, ETOWAH, TN 37331(423) 263-1138 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dac Of Etowah Llc NPPES

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

DAC OF ETOWAH LLC (NPI 1699531491), doing business as Etowah Health And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Etowah, Tennessee and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Matthew J. Weishaar, Chief Financial Officer And Secreta, as its authorized official.

NPPES Registry Identity

NPI1699531491
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDAC OF ETOWAH LLC
Location Address409 GRADY RDEtowah, TN 37331-1903
Mailing Address1621 Galleria BlvdBrentwood, TN 37027-2926 · (615) 771-7575
Organization SubpartNo
Authorized OfficialMatthew J. WeishaarChief Financial Officer And Secreta · (615) 550-9459
Enumeration DateFebruary 28, 2024
NPPES CertifiedFebruary 16, 2024
NPI 1699531491 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.

409 GRADY RD, Etowah, TN 37331

Other Names 1

Doing Business AsEtowah Health And Rehabilitation

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 44D0309509

Dac Of Etowah, LLC Dba Etowah Health And Rehabilitation · Etowah, TN
Active · expires Aug 31, 2026
CLIA Number44D0309509
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJonathan S. Hicks
Laboratory Phone(423) 263-1138
Laboratory LocationDac Of Etowah, LLC Dba Etowah Health And Rehabilitation409 Grady Road, Etowah, TN 37331
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 3

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

Skilled Nursing Facility
409 GRADY RD
ETOWAH, TN 37331
Speech-Language Pathologist
409 GRADY RD
ETOWAH, TN 37331
Speech-Language Pathologist
409 GRADY RD
ETOWAH, TN 37331

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 Dac Of Etowah LLC's NPI number?

The NPI number for Dac Of Etowah LLC is 1699531491. It was assigned to this organization in the NPPES registry on February 28, 2024. The provider is doing business as Etowah Health and Rehabilitation.

Where is Dac Of Etowah LLC located?

Dac Of Etowah LLC is located at 409 Grady Rd, Etowah, TN 37331. The listed phone number is (423) 263-1138.

What is Dac Of Etowah LLC's specialty?

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

Does Dac Of Etowah LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0309509) 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 Dac Of Etowah LLC was last updated on February 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.