OrganizationActive
Tri State Manor, LLC
NPI 1407843030 · Skilled Nursing Facility · Harrogate, TN
Tri State Manor, LLC is a Skilled Nursing Facility organization in Harrogate, TN (NPI 1407843030).
Provider details
- NPI number
- 1407843030
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- W Swain, Owner- Financial Officer(843) 449-0215
- License
- 0000000038 (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
600 Shawanee Rd
Harrogate, TN 37752-8305
Phone: (423) 869-5376
Fax: (423) 869-4107
Street-level locationGet directions
Mailing address
600 Shawanee Rd
Harrogate, TN 37752-8305
Other names (DBA / former)
- Doing business as
- Tri State Health and Rehabilitation Center
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2015-04-27
Frequently asked questions
- What is Tri State Manor, LLC's NPI number?
- Tri State Manor, LLC's National Provider Identifier (NPI) is 1407843030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri State Manor, LLC?
- Tri State Manor, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Tri State Manor, LLC located?
- Tri State Manor, LLC's practice location on file with NPPES is 600 Shawanee Rd, Harrogate, TN 37752-8305.
- What is Tri State Manor, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tri State Manor, LLC is (423) 869-5376.
- Who is the authorized official for Tri State Manor, LLC?
- The authorized official listed on Tri State Manor, LLC's NPPES record is W Swain, Owner- Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri State Manor, LLC's NPI active?
- Yes — Tri State Manor, LLC's NPI (1407843030) is active in the NPPES registry as of the last update on 2015-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.