Tennessee State Veterans Home Board
NPI 1093708943ActiveOrganization· Skilled Nursing Facility· Humboldt, TN
Skilled Nursing Facility in Humboldt, Tennessee, registered in NPPES in August 2005. The authorized official on file is Mary Ross, Chairman. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1093708943 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2005 |
| Last updated in NPPES | Aug 13, 2025 |
| Certified by provider | Aug 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0000000346 | TN |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0000000346 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (TN) |
|---|
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