Active NPI
Poplar Oaks Rehabilitation and Healthcare Center, LLC
- Skilled Nursing Facility
- Collierville, TN
National Provider Identifier
1407034556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- APPLIED FOR
- Legal business name
- POPLAR OAKS REHABILITATION AND HEALTHCARE CENTER, LLC
- Practice address
- 490 W Poplar Ave
Collierville, TN 38017-2538 - Phone
- (901) 854-8506
- Fax
- (901) 854-8511
- NPI assigned
- Jan 31, 2008
- Organization subpart
- Yes
- Parent organization
- ORIANNA HEALTH SYSTEMS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle D Meer
- Title
- Vice President & Secretary
- Phone
- (629) 626-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | APPLIED FOR | TN | Primary |
Addresses
Primary practice location
490 W Poplar Ave
Collierville, TN 38017-2538
Mailing address
490 W Poplar Ave
Collierville, TN 38017-2538
Phone (901) 854-8506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445495 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508716800000",
"number": "1407034556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 W POPLAR AVE",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172538",
"telephone_number": "901-854-8506",
"fax_number": "901-854-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 W POPLAR AVE",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172538",
"telephone_number": "901-854-8506",
"fax_number": "901-854-8511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POPLAR OAKS REHABILITATION AND HEALTHCARE CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORIANNA HEALTH SYSTEMS, LLC",
"enumeration_date": "2008-01-31",
"last_updated": "2017-10-23",
"status": "A",
"authorized_official_last_name": "MEER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
"authorized_official_telephone_number": "629-626-0000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "APPLIED FOR",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445495",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.