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SNH TELLICO TENANT LLC NPI 1104565381


NPI Information

NPI: 1104565381
Provider Name: SNH TELLICO TENANT LLC

Doing Business As: THE NEIGHBORHOOD AT TELLICO VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 44D2106829

Address:
100 CHATUGA DR W
LOUDON, TN
ZIP 37774
Phone: (865) 408-0211
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SNH TELLICO TENANT LLC is an assisted living facility in Loudon, TN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SNH TELLICO TENANT LLC NPI is 1104565381. The provider is registered as an organization entity type.
The provider Is Doing Business As The Neighborhood At Tellico Village.

The provider's business location address is:

100 CHATUGA DR W
LOUDON, TN
ZIP 37774-786
Phone: (865) 408-0211
Fax: (865) 408-1288

The provider's authorized official is Richard W. Siedel .
The authorized official title is C.f.o. & Treasurer and has the following contact phone number (617) 796-8350.

The CLIA number assigned to this NPI record is 44D2106829 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2022 and was last updated on 6/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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