PRINCETON TRANSITIONAL CARE
NPI 1841393329
Skilled Nursing Facility in Johnson City, TN

Active since September 07, 2006
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-6111(423) 431-6525 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 21, 2018, Dec 4, 2017, Nov 7, 2017 and 2 more (5 updates tracked since 2016).

  • Organization
  • Skilled Nursing Facility

About PRINCETON TRANSITIONAL CARE

This page provides the complete NPI Profile along with additional information for Princeton Transitional Care, a provider established in Johnson City, Tennessee operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1841393329 assigned on September 2006. The practitioner's primary taxonomy code is 314000000X with license number 0000000337 (TN). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Princeton Transitional Care. The authorized official of this NPI record is Mary Lynn Krutak (Evp/cfo)

NPI
1841393329 Verify this NPI
Provider Legal Name
MOUNTAIN STATES HEALTH ALLIANCE
Other Organization Name
PRINCETON TRANSITIONAL CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
400 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604
Location Phone
(423) 431-6111
Location Fax
(423) 431-6525
Mailing Address
311 PRINCETON RD STE 1 JOHNSON CITY, TN 37601
Mailing Phone
(423) 431-6111
Mailing Fax
(423) 431-6525
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2006
Last Update Date
02-21-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
0000000337
License State
TN
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY LYNN KRUTAK

Authorized Official Title
EVP/CFO
Authorized Official Phone
(423) 302-3423

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Pediatrics (Neonatal-Perinatal Medicine)
400 N STATE OF FRANKLIN RD, 1ST FLOOR
JOHNSON CITY, TN 37604
Internal Medicine (Hematology & Oncology)
400 N STATE OF FRANKLIN RD, 1ST FLOOR
JOHNSON CITY, TN 37604
Pharmacist (Pharmacotherapy)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Registered Nurse (Case Management)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Radiology (Radiation Oncology)
400 N STATE OF FRANKLIN RD, CANCER TREATMENT CENTER
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Hematology & Oncology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Radiology (Radiation Oncology)
400 N STATE OF FRANKLIN RD, CANCER TREATMENT CENTER
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841393329, enumerated as an "organization" on September 07, 2006.

The provider is located at 400 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 and the phone number is (423) 431-6111.

Skilled Nursing Facility with taxonomy code 314000000X.