NPIMap

Organization Active NPI

The Waterford in Sango

  • Assisted Living Facility
  • Clarksville, TN
National Provider Identifier
1578868733
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
134 Issued in TN
Legal business name
THE WATERFORD IN SANGO
Practice address
300 Sango Dr
Clarksville, TN 37043-6822
Phone
(931) 368-9622
Fax
(931) 368-9623
NPI assigned
Jan 20, 2011
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Nancy N Rhodes
Title
Administrator
Phone
(931) 368-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 134 TN Primary

Addresses

Primary practice location

300 Sango Dr
Clarksville, TN 37043-6822

Mailing address

300 Sango Dr
Clarksville, TN 37043-6822
Phone (931) 368-9622

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1578868733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANGO DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436822",
            "telephone_number": "931-368-9622",
            "fax_number": "931-368-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SANGO DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436822",
            "telephone_number": "931-368-9622",
            "fax_number": "931-368-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WATERFORD IN SANGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-368-9622"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.