Active NPI
Camb Op LLC
Doing business as Viviant Healthcare of Bristol
- Skilled Nursing Facility
- Bristol, TN
National Provider Identifier
1235744848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.