NPIMap

Organization Active NPI

Morningside of Cleveland, LLC

  • Assisted Living Facility
  • Cleveland, TN
National Provider Identifier
1164460556
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ACL0000000115 Issued in TN
Legal business name
MORNINGSIDE OF CLEVELAND, LLC
Doing business as
Morningside of Cleveland
Practice address
2900 Westside Dr NW
Cleveland, TN 37312-3506
Phone
(423) 614-5424
Fax
(423) 614-6259
NPI assigned
Jun 4, 2006
Organization subpart
Yes
Parent organization
MORNINGSIDE OF CLEVELAND, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Bruce J Mackey Jr.
Title
President & Chief Executive Officer
Phone
(617) 796-8214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ACL0000000115 TN Primary

Addresses

Primary practice location

2900 Westside Dr NW
Cleveland, TN 37312-3506

Mailing address

400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387

Other names 1

  • Morningside of Cleveland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morningside of Cleveland LLC3 organizations share this tax ID, including this one
Part of
Morningside of Cleveland LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1164460556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WESTSIDE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123506",
            "telephone_number": "423-614-5424",
            "fax_number": "423-614-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE OF CLEVELAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE OF CLEVELAND, LLC",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8214",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside of Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.