Franklin Cambridge Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FRANKLIN CAMBRIDGE OPERATIONS, LLC

Doing business as

The Cambridge House

Practice address

250 Belle Brook Rd
Bristol, TN 37620-5623

Phone

(423) 968-4123

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doug Mittleider

Title

President of Managing Member

Phone

(423) 968-4123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Cambridge House Doing business as

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1013380534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ROYAL BLVD S",
            "address_2": "STE. 190",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224427",
            "telephone_number": "470-282-3268",
            "fax_number": "470-268-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BELLE BROOK RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205623",
            "telephone_number": "423-968-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN CAMBRIDGE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGING MEMBER",
        "authorized_official_telephone_number": "423-968-4123"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445190",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cambridge House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Dayton Foley III, M.D.
• Joseph A Forrest, CRNA
• Evann Fowler, MD
• Sarah Fox
• Ghino Francois, M.D.
• Franklin Healthcare, Inc.
• Rachel K Freeman, NP
• Frontier Health (Adolescent Drug and Alcohol Recovery)
• Frontier Health (Fairmount Group Home)
• Frontier Health (Bristol Regional Counseling Center)

• Skilled Nursing Facility in Bristol, TN
• Providers in Bristol, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.