# CHRISTIAN CARE CENTER OF BEDFORD COUNTY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1316179575
- **Authorized official:** MRS. LISA M. CAWOOD-GRAY (RISK CONSULTANT)
- **Authorized official phone:** (423) 416-9595

## Contact information

- **Practice address:** 835 UNION ST, SHELBYVILLE, TN 37160-2607
- **Practice address phone:** (931) 680-2300
- **Practice address fax:** (931) 680-2273
- **Mailing address:** 835 UNION ST, SHELBYVILLE, TN 37160-2607
- **Mailing address phone:** (931) 680-2300
- **Mailing address fax:** (931) 680-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000006 | TN | — |
| 314000000X | Skilled Nursing Facility | 0000000006 | TN | Yes |

## Other

- **Enumeration date:** 08/20/2009
- **Last updated:** 10/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445171 | — | TN |
| 05 | — | 7440008 | — | TN |