CD-TT Cordova, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CD-TT CORDOVA, LLC

Practice address

1600 Appling Rd
Cordova, TN 38016-4906

Phone

(901) 250-1195

Fax

(901) 250-1192

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Chris Collins

Title

Cfo

Phone

(772) 492-5002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1013683515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 APPLING RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164906",
            "telephone_number": "901-250-1195",
            "fax_number": "901-250-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 APPLING RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164906",
            "telephone_number": "901-250-1195",
            "fax_number": "901-250-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD-TT CORDOVA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "772-492-5002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cordova, TN
• Providers in Cordova, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.