OrganizationActive
Burkey Road
NPI 1184930158 · Intellectual Disabilities Intermediate Care Facility · Greeneville, TN
Provider details
- NPI number
- 1184930158
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cathy Thomas, Executive Director(423) 638-3926
- License
- L000000015029 (TN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Practice location
100 Pennsylvania Ave
Greeneville, TN 37743-4624
Phone: (423) 638-3926
Fax: (423) 638-1105
Approximate (ZIP-level) locationGet directions
Mailing address
100 Pennsylvania Ave
Greeneville, TN 37743-4624
Registry dates
- Enumerated
- 2010-08-27
- Last updated
- 2020-11-20
- Certified
- 2020-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.