Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri State Manor, LLC

Organization Skilled Nursing Facility · NPI 1407843030

Tri State Manor, LLC is a Skilled Nursing Facility in Harrogate, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 Shawanee Rd
Harrogate, TN 37752-8305
Phone: (423) 869-5376
Fax: (423) 869-4107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0000000038 (TN)

Record details

NPI number1407843030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official W Swain — Owner- Financial Officer · (843) 449-0215
Other names Tri State Health And Rehabilitation Center
NPI enumeratedSeptember 29, 2005
Last updated in NPPESApril 27, 2015
Mailing address600 Shawanee Rd, Harrogate, TN 37752-8305

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