Boulevard Terrace Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BOULEVARD TERRACE HEALTHCARE LLC

Doing business as

Boulevard Terrace Health and Rehabilitation

Practice address

1530 Middle Tennessee Blvd
Murfreesboro, TN 37130

Phone

(615) 896-4505

Fax

(615) 895-8544

NPI assigned

Oct 24, 2019

Last updated

Oct 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Goldner

Title

President

Phone

(347) 677-0448

Specialties & licenses 1

Addresses

Other names 1

• Boulevard Terrace Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1407499254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CHESTNUT STREET",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "11516",
            "telephone_number": "347-677-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MIDDLE TENNESSEE BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "615-896-4505",
            "fax_number": "615-895-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD TERRACE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-677-0448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Terrace Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Borowski, PT,DPT
• Wanda Anne Boss, APRN, BC
• Vivian Bossong, MSRD, LDN, CDCES
• Zakaria M Botros
• Natalie Karen Bouie, FNP-C
• Boulevard Terrace, LLC (Boulevard Terrace Rehabilitation and Nursing Center, L.P.)
• Jason B Bour, CLC
• Nabil Boutros, MD
• Kirstie Jones Boutwell, ATC, LAT
• Anna N Bowden, MSN, GNP, PMHNP

• Skilled Nursing Facility in Murfreesboro, TN
• Providers in Murfreesboro, 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 Oct 24, 2019; 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.