SNH Tellico Tenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SNH TELLICO TENANT LLC

Practice address

100 Chatuga Dr W
Loudon, TN 37774-2786

Phone

(865) 408-0211

Fax

(865) 408-1288

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Richard W. Siedel Jr.

Title

C.F.O. & Treasurer

Phone

(617) 796-8350

Specialties & licenses 1

Addresses

Other names 1

• The Neighborhood at Tellico Village Doing business as

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1104565381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHATUGA DR W",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377742786",
            "telephone_number": "865-408-0211",
            "fax_number": "865-408-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHATUGA DR W",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377742786",
            "telephone_number": "865-408-0211",
            "fax_number": "865-408-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH TELLICO TENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "SIEDEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "C.F.O. & TREASURER",
        "authorized_official_telephone_number": "617-796-8350",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neighborhood at Tellico Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber L Shillings
• Heather Shipley
• Heather T. Shover, M.D.
• Jonah Smith
• Sandee Smith
• Shannon Snyder, SLP
• Janna Lynn Spada, AUD
• Bethany Spangler
• Amber Shonesy Sponaugle, OTA
• State of Tennessee

• Assisted Living Facility in Loudon, TN
• Providers in Loudon, 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 3, 2022; 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.