Ssa Murfreesboro Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000127 Issued in TN

Legal business name

SSA MURFREESBORO ALF, LLC

Practice address

3211 Memorial Blvd
Murfreesboro, TN 37129-5255

Phone

(615) 867-9777

Fax

(615) 867-4100

NPI assigned

Dec 6, 2010

Organization subpart

Yes

Parent organization

BROADMORE SENIOR SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Melissa Butts, LPN

Title

Executive Director

Phone

(615) 867-9777

Specialties & licenses 1

Addresses

Other names 1

• Broadmore Assisted Living at Murfreesboro Doing business as

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1134422694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 MEMORIAL BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295255",
            "telephone_number": "615-867-9777",
            "fax_number": "615-867-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 MEMORIAL BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295255",
            "telephone_number": "615-867-9777",
            "fax_number": "615-867-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSA MURFREESBORO ALF, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROADMORE SENIOR SERVICES, LLC",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-867-9777",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadmore Assisted Living at Murfreesboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Spry, LMT
• Lana Danielle Spry, PA-C
• Danielle Turner Spurlock, RN
• Square Medical Supply LLC
• Kalavally Sriharan, M.D.
• Emily Stacey, RBT
• Brooke Lynn Stackpole, H.I.S.
• Stefanie Staggs, OTD
• Spichael L Stallings, DC
• Steven H. Stallings

• Assisted Living Facility in Murfreesboro, TN
• Providers in Murfreesboro, 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 Dec 6, 2010; 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.