Vanguard of Church Hill, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000125 Issued in TN

Legal business name

VANGUARD OF CHURCH HILL, LLC

Practice address

701 W Main Blvd
Church Hill, TN 37642

Phone

(423) 357-7178

Fax

(423) 357-5857

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William D Orand

Title

Ceo

Phone

(615) 250-7100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Church Hill Health Care & Rehab Center Doing business as

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1376548743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 OVERLOOK BLVD STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272755",
            "telephone_number": "615-250-7100",
            "fax_number": "615-250-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MAIN BLVD",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "37642",
            "telephone_number": "423-357-7178",
            "fax_number": "423-357-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD OF CHURCH HILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "ORAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-250-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440497",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445237",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Church Hill Health Care & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Church Hill Health Care & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa M Taylor, LPC/MHSP
• Randolph P Thomas, D.M.D.
• Jackie Christine Thompson
• Tricities Healthcare Solutions
• Tumlin RX, LLC
• Heather Varney, NP
• Megan Lea Ward, DDS
• Sophia Rose Webb
• Victoria Williams, DPT
• Elizabeth Ann Willis, RN, BSN

• All providers in Church Hill, TN
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.