Organization Active NPI

Camb Op LLC

Doing business as Viviant Healthcare of Bristol

  • Skilled Nursing Facility
  • Bristol, TN
National Provider Identifier
1235744848
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CAMB OP LLC
Doing business as
Viviant Healthcare of Bristol
Practice address
250 Belle Brook Rd
Bristol, TN 37620-5623
Phone
(423) 968-4123
Fax
(423) 968-4076
NPI assigned
Sep 10, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Samuel Goldner
Title
Authorized Signatory
Phone
(732) 645-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

250 Belle Brook Rd
Bristol, TN 37620-5623

Mailing address

250 Belle Brook Rd
Bristol, TN 37620-5623
Phone (423) 968-4123

Other names 1

  • Viviant Healthcare of Bristol Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1235744848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BELLE BROOK RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205623",
            "telephone_number": "423-968-4123",
            "fax_number": "423-968-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BELLE BROOK RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205623",
            "telephone_number": "423-968-4123",
            "fax_number": "423-968-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMB OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "732-645-9800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viviant Healthcare of Bristol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.