McKendree Village, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

58 Issued in TN

Legal business name

MCKENDREE VILLAGE, INC.

Practice address

4347 Lebanon Pike
Hermitage, TN 37076-1243

Phone

(615) 889-6990

Fax

(615) 871-8699

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Nellie Cole, CPA

Title

Cfo

Phone

(615) 871-8286

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1053596437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761243",
            "telephone_number": "615-889-6990",
            "fax_number": "615-871-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761243",
            "telephone_number": "615-889-6990",
            "fax_number": "615-871-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENDREE VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-871-8286",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "58",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "58",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Roy McGee Jr.
• Patricia Ann McGhee
• Rachel Martin McHenry, CFNP
• McKendree Alf Operations LLC
• McKendree SNF Operations LLC
• McKendree Village, Inc.
• Leslie McKennie
• Linda W McMillan, RN, APN
• Jenna Marie McPherson, PT, DPT
• MD Cpap, Inc.

• All providers in Hermitage, TN
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.