Senior Living Properties LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000300 Issued in TN

Legal business name

SENIOR LIVING PROPERTIES LLC

Practice address

200 Winners Cir S
Brentwood, TN 37027-5052

Phone

(615) 221-9001

Fax

(615) 221-0081

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Dorene M Ford

Title

Director of Mis

Phone

(239) 963-3400

Specialties & licenses 1

Addresses

Other names 1

• SOUTHERLAND PLACE Doing business as

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1083992200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 HORSESHOE DR SOUTH",
            "address_2": "SUITE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046145",
            "telephone_number": "239-963-3400",
            "fax_number": "239-963-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WINNERS CIR S",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275052",
            "telephone_number": "615-221-9001",
            "fax_number": "615-221-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "DORENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF MIS",
        "authorized_official_telephone_number": "239-963-3400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERLAND PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Sekscinski
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• Kayla Ann Serafin
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• Assisted Living Facility in Brentwood, TN
• Providers in Brentwood, 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 Jul 22, 2011; 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.