Life Action Tennessee, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

L3(32)4M3-126-3655 Issued in TN

Legal business name

LIFE ACTION TENNESSEE, INC.

Practice address

475 Metroplex Dr
504
Nashville, TN 37211-3153

Phone

(615) 248-4983

Fax

(615) 248-6956

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By 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

Mrs. Deborah Rochelle Aboyade-Cole, R. N.

Title

Executive Director

Phone

(615) 248-4983

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457492225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 METROPLEX DR",
            "address_2": "504",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113153",
            "telephone_number": "615-248-4983",
            "fax_number": "615-248-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 METROPLEX DR",
            "address_2": "504",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113153",
            "telephone_number": "615-248-4983",
            "fax_number": "615-248-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ACTION TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABOYADE-COLE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-248-4983",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R. N."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TN",
            "license": "L3(32)4M3-126-3655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.