The Village of Lebanon, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100325 Issued in KY

Legal business name

THE VILLAGE OF LEBANON, LLC

Doing business as

Cedars of Lebanon Nursing Center

Practice address

337 S Harrison St
Lebanon, KY 40033-1150

Phone

(270) 692-3121

Fax

(270) 692-6217

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Bland George

Title

Managing Member

Phone

(502) 751-6823

Specialties & licenses 1

Addresses

Other names 1

• Cedars of Lebanon Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1265515803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S HARRISON ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331150",
            "telephone_number": "270-692-3121",
            "fax_number": "270-692-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S HARRISON ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331150",
            "telephone_number": "270-692-3121",
            "fax_number": "270-692-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE OF LEBANON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "BLAND",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "502-751-6823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedars of Lebanon Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Vaughn Steeves, M.D.
• Linda D. Taylor, IECE
• Martie Brianna Taylor, LPCA
• Paul G Taylor, O.D.
• The Childrens Clinic, PLLC.
• Diane Sue Thomas, M.D.
• Katlin Marie Thomas, APRN
• Amanda Louise Thompson
• Derhonda Mae Thompson, APRN
• Lindsey Gritton Thompson, LPCC

• Skilled Nursing Facility in Lebanon, KY
• Providers in Lebanon, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.