Arbor Place of Puryear

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000130 Issued in TN

Legal business name

ARBOR PLACE OF PURYEAR

Practice address

223 West Chestnut
Puryear, TN 38251-0306

Phone

(731) 247-3205

Fax

(731) 247-5205

NPI assigned

Dec 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John M. Sells

Title

President/Ceo

Phone

(573) 471-5800

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Arbor Place of Puryear2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Arbor Place of Puryear

  • Skilled Nursing Facility
  • Puryear, TN
  • NPI 1932246386
  NPD tax ID

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609850601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 N KINGSHIGHWAY",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "63801",
            "telephone_number": "573-471-5800",
            "fax_number": "573-471-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WEST CHESTNUT",
            "city": "PURYEAR",
            "state": "TN",
            "postal_code": "382510306",
            "telephone_number": "731-247-3205",
            "fax_number": "731-247-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR PLACE OF PURYEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "573-471-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445470",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440575",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arbor Place of Puryear
• Benchmark Assisted Living, LLC
• Benchmark Healthcare of Puryear, Inc.
• Sherry Gale Gallimore, NP-C
• Generations Assisted Living at Puryear, LLC

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