# CHRISTIAN CARE CENTER OF CHEATHAM COUNTY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Christian Care Center of Cheatham Co
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962486191
- **Authorized official:** JIMMY R LEWIS (PRESIDENT)
- **Authorized official phone:** (423) 975-5455

## Contact information

- **Practice address:** 2501 RIVER RD, ASHLAND CITY, TN 37015
- **Practice address phone:** (615) 792-4948
- **Practice address fax:** (615) 746-4685
- **Mailing address:** 2501 RIVER RD, ASHLAND CITY, TN 37015
- **Mailing address phone:** (615) 792-4948
- **Mailing address fax:** (615) 746-4685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000042 | TN | — |
| 314000000X | Skilled Nursing Facility | 0000000042 | TN | Yes |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 03/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445318 | — | TN |
| 05 | — | 7440033 | — | TN |
