OrganizationActive
Clc of Humboldt, LLC
NPI 1275523854 · Skilled Nursing Facility · Humboldt, TN
Clc of Humboldt, LLC is a Skilled Nursing Facility organization in Humboldt, TN (NPI 1275523854).
Provider details
- NPI number
- 1275523854
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Wright, Managing Member(662) 680-3148
- License
- 0000000088 (TN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2400 E Mitchell St
Humboldt, TN 38343-3036
Phone: (731) 784-5183
Fax: (731) 784-1562
Street-level locationGet directions
Mailing address
2400 E Mitchell St
Humboldt, TN 38343-3036
Other names (DBA / former)
- Doing business as
- Bailey Park Community Living Center
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2008-01-28
Frequently asked questions
- What is Clc of Humboldt, LLC's NPI number?
- Clc of Humboldt, LLC's National Provider Identifier (NPI) is 1275523854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clc of Humboldt, LLC?
- Clc of Humboldt, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Clc of Humboldt, LLC located?
- Clc of Humboldt, LLC's practice location on file with NPPES is 2400 E Mitchell St, Humboldt, TN 38343-3036.
- What is Clc of Humboldt, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clc of Humboldt, LLC is (731) 784-5183.
- Who is the authorized official for Clc of Humboldt, LLC?
- The authorized official listed on Clc of Humboldt, LLC's NPPES record is Douglas Wright, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clc of Humboldt, LLC's NPI active?
- Yes — Clc of Humboldt, LLC's NPI (1275523854) is active in the NPPES registry as of the last update on 2008-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.