# GLEN OAKS CONVALESCENT CENTER

> 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
- **Parent organization:** HEALTHCARE MANAGEMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770538290
- **Legal business name:** HEALTHCARE MANAGEMENT
- **Authorized official:** MRS. JUDY A. BENNETT (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (931) 684-8340

## Contact information

- **Practice address:** 1101 GLEN OAKS ROAD, SHELBYVILLE, TN 37160
- **Practice address phone:** (931) 684-8340
- **Practice address fax:** (931) 685-4113
- **Mailing address:** 1101 GLEN OAKS ROAD, SHELBYVILLE, TN 37160
- **Mailing address phone:** (931) 684-8340
- **Mailing address fax:** (931) 685-4113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000007 | TN | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 03/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445234A | — | TN |
| 05 | — | 74402836 | — | TN |