# WAYNESBORO HEALTHCARE, 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
- **Other names:** Wayne Care Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992119010
- **Authorized official:** MR. KENNETH C HART JR. (TREASURER)
- **Authorized official phone:** (423) 584-6755

## Contact information

- **Practice address:** 505 S HIGH ST, WAYNESBORO, TN 38485-2610
- **Practice address phone:** (931) 722-5832
- **Practice address fax:** (931) 722-6522
- **Mailing address:** 485 CENTRAL AVE NE, CLEVELAND, TN 37311-5541
- **Mailing address phone:** (423) 478-5953
- **Mailing address fax:** (423) 472-6283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000277 | TN | Yes |

## Other

- **Enumeration date:** 06/17/2014
- **Last updated:** 03/28/2019