Union City Rescare

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0234 Issued in TN

Legal business name

UNION CITY RESCARE

Doing business as

Magnolia Place

Practice address

1620 N Clover St
Union City, TN 38261-1813

Phone

(731) 885-8004

Fax

(731) 885-2171

NPI assigned

Sep 7, 2010

Last updated

Sep 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David L Johnson

Title

Administrator

Phone

(731) 885-8004

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Place Doing business as

Locations

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1194032524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N CLOVER ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382611813",
            "telephone_number": "731-885-8004",
            "fax_number": "731-885-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N CLOVER ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382611813",
            "telephone_number": "731-885-8004",
            "fax_number": "731-885-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION CITY RESCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-885-8004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "0234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Union City Anesthesia Group
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• Union City Internal Medicine PC (Union City Family Healthcare)
• Union City Nursing and Rehabilitation Center LLC
• Union City Residential, LLC (The Etheridge House)
• Union City Urgent Care
• Union City Urgent Care LLC
• Urology Consultants, Inc.
• Allison A Vallee, APRN

• Assisted Living Facility in Union City, TN
• Providers in Union City, 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 Sep 7, 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.