Cookeville Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COOKEVILLE SENIOR LIVING LLC

Doing business as

Cedar Hills Retirement Center

Practice address

1250 Cedar Hills Dr
Cookeville, TN 38506-4347

Phone

(931) 526-9108

Fax

(931) 372-2856

NPI assigned

Sep 13, 2023

Last updated

Sep 13, 2023By 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

Megan Brook Lee, LPN

Title

Executive Director

Phone

(931) 526-9108

Specialties & licenses 1

Addresses

Other names 1

• Cedar Hills Retirement Center Doing business as

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1346027208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CEDAR HILLS DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064347",
            "telephone_number": "931-526-9108",
            "fax_number": "931-372-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CEDAR HILLS DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064347",
            "telephone_number": "931-526-9108",
            "fax_number": "931-372-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKEVILLE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "BROOK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-526-9108",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hills Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ashley Danielle Coon, FNP-BC

• Assisted Living Facility in Cookeville, TN
• Providers in Cookeville, 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 Sep 13, 2023; 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.