Organization Active NPI

Bluff Springs Manor LLC

  • Assisted Living Facility
  • McMinnville, TN
National Provider Identifier
1508112673
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
374 Issued in TN
Legal business name
BLUFF SPRINGS MANOR LLC
Practice address
810 Bluff Springs Rd
McMinnville, TN 37110-7723
Phone
(931) 668-7899
Fax
(931) 668-7899
NPI assigned
Jul 26, 2012
Last updated
Jul 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Mrs. Theresia J Rogers
Title
RN/Administrator
Phone
(931) 668-7899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 374 TN Primary

Addresses

Primary practice location

810 Bluff Springs Rd
McMinnville, TN 37110-7723

Mailing address

810 Bluff Springs Rd
McMinnville, TN 37110-7723
Phone (931) 668-7899

National Provider Directory

National Provider Directory

Locations

810 Bluff Springs Rd
McMinnville, TN 37110
Phone (931) 668-7899

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1508112673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BLUFF SPRINGS RD",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371107723",
            "telephone_number": "931-668-7899",
            "fax_number": "931-668-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BLUFF SPRINGS RD",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371107723",
            "telephone_number": "931-668-7899",
            "fax_number": "931-668-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF SPRINGS MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "THERESIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "931-668-7899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.