Presbyterian Homes of Tennessee, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

404 Issued in TN

Legal business name

PRESBYTERIAN HOMES OF TENNESSEE, INC.

Doing business as

WellPark at Shannondale

Practice address

801 Vanosdale Rd
Knoxville, TN 37909-2497

Phone

(865) 690-3411

Fax

(865) 246-1799

NPI assigned

Jan 5, 2016

Last updated

Jan 5, 2016By 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. Todd Knight Taylor

Title

VP - Administrator

Phone

(865) 690-3411

Specialties & licenses 1

Addresses

Other names 1

• WellPark at Shannondale Doing business as

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1295191401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VANOSDALE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092497",
            "telephone_number": "865-690-3411",
            "fax_number": "865-246-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VANOSDALE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092497",
            "telephone_number": "865-690-3411",
            "fax_number": "865-246-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOMES OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "KNIGHT",
        "authorized_official_title_or_position": "VP - ADMINISTRATOR",
        "authorized_official_telephone_number": "865-690-3411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellPark at Shannondale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of Tennessee Medical PC (City County)
• Premise Health of Tennessee Medical PC (Safety Building)
• Premise Health of Tennessee Medical PC (The Center)
• Eric R Prenshaw, M.D.
• Remy Kathleen Prentice, SLP
• Presbyterian Homes of Tennessee, Inc. (Shannondale Health Care Center)
• Kerry Allison Prescott, APRN
• Philomina Presentation, M.D.
• Emily Ann Presley
• Madison Kailee Presley, OTR/L

• Skilled Nursing Facility in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.