Dominion Senior Livning of Crossville

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000422 Issued in TN

Legal business name

DOMINION SENIOR LIVNING OF CROSSVILLE

Practice address

887 Woodlawn Rd
Crossville, TN 38555-5449

Phone

(931) 287-2557

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Kellie Dodson

Title

Executive Director

Phone

(931) 287-2557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1194201434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 WOODLAWN RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555449",
            "telephone_number": "931-287-2557",
            "fax_number": "931-484-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 WOODLAWN RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555449",
            "telephone_number": "931-287-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION SENIOR LIVNING OF CROSSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-287-2557"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dialysis Care Center Crossville LLC
• Jordyn Paige Diaz, RDH
• Casey Dillon, PA
• Doc Rides
• April Michelle Dombrowski, RBT-22-249076
• Iva M Dozier, FNP
• Dr. Charles J. Krusa, D.D.S.
• DRS. Turney and Boyd, PLLC
• DRS. Turney and Boyd, PLLC
• Brian Bruce Dubes, O.D.

• Assisted Living Facility in Crossville, TN
• Providers in Crossville, 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 Jul 18, 2018; 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.