Organization Active NPI

Poplar Oaks Rehabilitation and Healthcare Center, LLC

  • Skilled Nursing Facility
  • Collierville, TN
National Provider Identifier
1407034556
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
APPLIED FOR Issued in TN
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0445495MedicaidTN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.