Abundant Christian Living Community LLC
NPI 1902491178ActiveOrganization· Skilled Nursing Facility· Johnson City, TN
Skilled Nursing Facility in Johnson City, Tennessee, registered in NPPES in March 2021. The authorized official on file is Jimmy R. Lewis, Chief Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1902491178 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2021 |
| Last updated in NPPES | Mar 10, 2021 |
| Certified by provider | Mar 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
| Assisted Living Facility | 310400000X | — | — |
| Nursing Facility/Intermediate Care Facility | 313M00000X | — | — |
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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