# TENNESSEE STATE VETERANS HOME BOARD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093708943
- **Authorized official:** MRS. MARY ROSS (CHAIRMAN)
- **Authorized official phone:** (615) 225-1816

## Contact information

- **Practice address:** 2865 E MAIN ST, HUMBOLDT, TN 38343-3070
- **Practice address phone:** (731) 784-8405
- **Practice address fax:** (731) 784-2448
- **Mailing address:** P.O. BOX 11328, MURFREESBORO, TN 37129
- **Mailing address phone:** (615) 225-1816
- **Mailing address fax:** (615) 898-1181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000346 | TN | — |
| 314000000X | Skilled Nursing Facility | 0000000346 | TN | Yes |

## Other

- **Enumeration date:** 08/25/2005
- **Last updated:** 08/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445366 | — | TN |
| 01 | — | 3030638 | BLUECROSS BLUESHIELD | TN |
| 05 | — | 7440578 | — | TN |