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.
Organization
CORDOVA HEALTHCARE, LLC
Active
Organization
CORDOVA HEALTHCARE, LLC
Active
Other names
GRACE HEALTHCARE OF CORDOVA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG D. TAYLOR (CHIEF MANAGER)
(423) 308-1845
Entity
Organization
Contact information
Practice address
955 N GERMANTOWN PKWY, CORDOVA, TN 38018-6215
(901) 754-1393
(336) 433-7468
Mailing address
955 N GERMANTOWN PKWY, CORDOVA, TN 38018-6215
(901) 754-1393
(336) 433-7468
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000238
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445218
—
TN
05
—
7440486
—
TN
Enumeration date
11/08/2007
Last updated
10/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers