Columbia Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000077 Issued in TN

Legal business name

COLUMBIA SENIOR LIVING, LLC

Doing business as

Poplar Estates Assisted Living

Practice address

1310 Rosewood Drive
Columbia, TN 38401

Phone

(931) 381-8405

Fax

(391) 381-8442

NPI assigned

Jun 4, 2010

Last updated

Jun 4, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

GOODWORKS UNLIMITED, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Dawn Renee Rowe

Title

Executive Director

Phone

(931) 381-8405

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Poplar Estates Assisted Living Doing business as

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

CLIA laboratory certificates

Part of

Columbia Senior Living LLC

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1023338753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ROSEWOOD DRIVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-381-8405",
            "fax_number": "391-381-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ROSEWOOD DRIVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-381-8405",
            "fax_number": "391-381-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA SENIOR LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOODWORKS UNLIMITED, LLC",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-381-8405",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445390",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poplar Estates Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Columbia Operations, LLC (Life Care Center of Columbia)
• Columbia Orthodontics, PC
• Columbia Pediatric Clinic, Inc. (Columbia Pediatrics)
• Columbia Premier Urology PLLC
• Columbia Regional Medical Center, LLC (CORE Physicians)
• Columbia Surgery Group, P.C.
• Columbia Surgical Associates
• Columbia TN Endoscopy ASC LLC (Mid-South Endoscopy Center)
• Columbia TN SNF LLC (Magnolia Healthcare and Rehabilitation Center)
• Columbia Urological Associates, P.a.

• Assisted Living Facility in Columbia, TN
• Providers in Columbia, 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 Jun 4, 2010; 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.