McKendree Village, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

58 Issued in TN

Legal business name

MCKENDREE VILLAGE, INC.

Practice address

4347 Lebanon Pike
Hermitage, TN 37076-1243

Phone

(615) 871-8600

NPI assigned

Nov 15, 2005

Last updated

Aug 30, 2007By 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. Maryanna Womeldorf

Title

Ceo

Phone

(615) 871-8706

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1508848771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761243",
            "telephone_number": "615-871-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761243",
            "telephone_number": "615-871-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENDREE VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "WOMELDORF",
        "authorized_official_first_name": "MARYANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-871-8706",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "58",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440130",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann McGhee
• Rachel Martin McHenry, CFNP
• McKendree Alf Operations LLC (The McKendree Senior Living)
• McKendree SNF Operations LLC (The McKendree Post Acute & Rehabilitation)
• McKendree Village, Inc.
• Leslie McKennie
• Linda W McMillan, RN, APN
• MD Cpap, Inc.
• Ronald Wayne Meadows, DPH
• Medical Group Summit Inc

• Nursing Facility/Intermediate Care Facility in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.