Denise Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DENISE SENIOR LIVING

Practice address

1016 Charlie Daniels Pkwy
Mt Juliet, TN 37122-3064

Phone

(615) 758-9300

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Mitch Holland

Title

Business Manager

Phone

(615) 758-4800

Specialties & licenses 1

Addresses

Other names 1

• The Gardens Doing business as

Locations

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1104461383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 CHARLIE DANIELS PKWY",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223064",
            "telephone_number": "615-758-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 CHARLIE DANIELS PKWY",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223064",
            "telephone_number": "615-758-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "615-758-4800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cory E Declue, MD
• Rachel Jones Deffendall, FNP-BC
• Del Mar Medical, Inc.
• Demeka Campbell-MD
• Kenneth A Demirjian, M.D.
• Christopher Ryan Dennis
• Gregory Scott Denton, D.D.S.
• Steven C Depass, CRNA, MS
• Rinas Dervishi
• Sarina Atul Desai, FNP-C

• Assisted Living Facility in Mt Juliet, TN
• Providers in Mt Juliet, 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 Nov 12, 2019; 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.