Vanguard of Crestview, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000047 Issued in TN

Legal business name

VANGUARD OF CRESTVIEW, LLC

Doing business as

Crestview Health and Rehabilitation

Practice address

2030 25TH Ave N
Nashville, TN 37208

Phone

(615) 256-4697

Fax

(615) 256-4616

NPI assigned

Jan 12, 2006

Organization subpart

Yes

Parent organization

VANGUARD HEALTHCARE, LLCAs reported in NPPES

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

• Crestview Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1396724845",
    "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": "2030 25TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37208",
            "telephone_number": "615-256-4697",
            "fax_number": "615-256-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD OF CRESTVIEW, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANGUARD HEALTHCARE, LLC",
        "enumeration_date": "2006-01-12",
        "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": "0000000047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445409",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440042",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crestview Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rene G Vandevoorde III, M.D.
• Eric Vandongen, PT, DPT
• Kimberly Amick Vandusen, M.S.
• Ashley Vanek, RN
• Blong Vang
• Ashley Vanhaverbeck, DO
• Steven M Vanhook, MD
• Jacob Vanhooser, D.C.
• Katie Jo Vanhooser, PA-C
• John E Vanhooydonk, M.D.

• Skilled Nursing Facility in Nashville, TN
• Providers in Nashville, 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 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.