# SPARTA MEDICAL INVESTORS LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Care Center of Sparta
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740211796
- **Authorized official:** CINDY S CROSS (ASSISTANT SECRETARY)
- **Authorized official phone:** (423) 473-5867

## Contact information

- **Practice address:** 508 MOSE DR, SPARTA, TN 38583-1211
- **Practice address phone:** (931) 738-9430
- **Practice address fax:** (931) 738-9455
- **Mailing address:** 3001 KEITH ST NW, CLEVELAND, TN 37312-3713
- **Mailing address phone:** (423) 473-5751
- **Mailing address fax:** (423) 339-8342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ACL0000000208 | TN | — |
| 314000000X | Skilled Nursing Facility | 381 | TN | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4041457 | BCBS | — |
| 05 | — | 7440596 | — | TN |