Kimberly Communities

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

185 Issued in TN

Legal business name

KIMBERLY COMMUNITIES

Practice address

550 Deer View Way
Jefferson City, TN 37760-4063

Phone

(865) 471-1400

Fax

(865) 471-1410

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Kimberly Shelton, RNC

Title

Executive Director

Phone

(865) 471-1400

Specialties & licenses 2

Addresses

Other names 1

• Chandler House Assisted Living Doing business as

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1376870675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377600767",
            "telephone_number": "865-471-6800",
            "fax_number": "865-471-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DEER VIEW WAY",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604063",
            "telephone_number": "865-471-1400",
            "fax_number": "865-471-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-471-1400",
        "authorized_official_credential": "RNC"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "185",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TN",
            "license": "185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler House Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Austin Jones, ATC
• K-VA-T Food Stores, Inc.
• Jenna Kaetzel
• Catherien Rose Kellogg
• Stephen Field Keohane, PHD, MSW, LICSW
• John Austin Kirby, M.D.
• Dennis M Klein, DO
• Penny L Knight, M.D.
• Amber Leighann Kohlmeyer, PMHNP-BC
• Aqueel M Kouser, MD

• All providers in Jefferson City, TN
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.