Organization Active NPI

Jamestowne Assisted Living

Doing business as Jamestowne, An Assisted Living Community

  • Assisted Living Facility
  • Kingston, TN
National Provider Identifier
1003954793
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ACL0000000037 Issued in TN
Legal business name
JAMESTOWNE ASSISTED LIVING
Doing business as
Jamestowne, An Assisted Living Community
Practice address
851 Lawnville Rd
Kingston, TN 37763-4666
Phone
(865) 376-3030
Fax
(865) 376-3035
NPI assigned
Feb 2, 2007
Last updated
Apr 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christina L Trentham
Title
VP of Operations
Phone
(865) 293-6563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ACL0000000037 TN Primary

Addresses

Primary practice location

851 Lawnville Rd
Kingston, TN 37763-4666

Mailing address

851 Lawnville Road
Kingston, TN 37763-4666
Phone (865) 376-3030

Other names 1

  • Jamestowne, An Assisted Living Community Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2108231Jamestowne Assisted Living851 Lawnville Rd, Kingston, TN 37763Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1003954793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 LAWNVILLE ROAD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634666",
            "telephone_number": "865-376-3030",
            "fax_number": "865-376-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LAWNVILLE RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634666",
            "telephone_number": "865-376-3030",
            "fax_number": "865-376-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWNE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "TRENTHAM",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "865-293-6563"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamestowne, An Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.