Vanguard of Memphis, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000240 Issued in TN

Legal business name

VANGUARD OF MEMPHIS, LLC

Practice address

131 N Tucker St
Memphis, TN 38104

Phone

(901) 726-5600

Fax

(901) 255-1359

NPI assigned

Jan 13, 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

• Poplar Point Health and Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1417936840",
    "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": "131 N TUCKER ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-726-5600",
            "fax_number": "901-255-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD OF MEMPHIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANGUARD HEALTHCARE, LLC",
        "enumeration_date": "2006-01-13",
        "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": "0000000240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440554",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445150",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poplar Point Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poplar Point Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vandeven Physician Services
• Gregory Eugene Vandeven, M.D.
• Ariana Fotouhi Vandillen, MD
• Michael Benjamin Vandillen, MD
• Erik Louis Vanfossen, DO
• Lisa Vanhouwelingen, M.D.
• Miriam Vanmersbergen, SLP
• Beverly Ann Vann, LASW
• Kimberly Nicole Vann, FNP-BC
• Kevin Harold Vantrees, RPA, R.T. (R)(MR)(CT

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