Morningside of Springfield, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000051 Issued in TN

Legal business name

MORNINGSIDE OF SPRINGFIELD, LLC

Doing business as

Morningside of Springfield

Practice address

205 Westgate Dr
Springfield, TN 37172-4605

Phone

(615) 384-7369

Fax

(615) 384-4232

NPI assigned

Jun 5, 2006

Organization subpart

Yes

Parent organization

MORNINGSIDE OF SPRINGFIELD, LLCAs reported in NPPES

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

Authorized official

Name

Katherine E Potter Jr.

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other names 1

• Morningside of Springfield Doing business as

Part of

Morningside of Springfield LLC

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1013956333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WESTGATE DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371724605",
            "telephone_number": "615-384-7369",
            "fax_number": "615-384-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE OF SPRINGFIELD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE OF SPRINGFIELD, LLC",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside of Springfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morningside of Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seleana Miller, CRNA
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• Shelby Mitzel
• Colleen Rebecca Moring, RN, BSN
• Eric V. Morris, M.D.
• Kristine Fowler Morris, RPH
• Steven Ernest Morris, ATC
• Hilary L Morrison, MSM, PA-C
• Virginia Adair Morse

• Assisted Living Facility in Springfield, TN
• Providers in Springfield, 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 25, 2020; 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.