Organization Active NPI

Ahf Central States, Inc

Doing business as Belcourt Terrace

  • Skilled Nursing Facility
  • Nashville, TN
National Provider Identifier
1649254608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
17940 Issued in TN
Legal business name
AHF CENTRAL STATES, INC
Doing business as
Belcourt Terrace
Practice address
1710 Belcourt Ave
Nashville, TN 37212-3717
Phone
(615) 383-3570
Fax
(615) 460-7778
NPI assigned
Dec 2, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark T Haemmerle, CPA, INACTIVE
Title
President
Phone
(614) 760-7352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 17940 TN Primary

Addresses

Primary practice location

1710 Belcourt Ave
Nashville, TN 37212-3717

Mailing address

4248 Tuller Rd
Dublin, OH 43017-5025
Phone (614) 760-7352

Other identifiers 2

IdentifierTypeStateIssuer
445273MedicaidKY
740011MedicaidTN

Other names 1

  • BELCOURT TERRACE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1649254608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 TULLER RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175025",
            "telephone_number": "614-760-7352",
            "fax_number": "614-760-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 BELCOURT AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123717",
            "telephone_number": "615-383-3570",
            "fax_number": "615-460-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHF CENTRAL STATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAEMMERLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-760-7352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, INACTIVE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "17940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445273",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740011",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELCOURT TERRACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • 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.