Tree of Life Residential Care,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TREE OF LIFE RESIDENTIAL CARE,LLC

Practice address

293 King Rd
Tracy City, TN 37387-4613

Phone

(931) 581-3728

NPI assigned

Nov 17, 2022

Last updated

Dec 13, 2022By 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

Amanda Hope Griffith

Title

Adminstrator

Phone

(931) 581-3728

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• Matthew Leroy Griffith, LNHA

  • Nursing Home Administrator
  • Tracy City, TN
  • NPI 1285343541
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1649989732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 JOHNNY STIEFEL RD",
            "city": "SEQUATCHIE",
            "state": "TN",
            "postal_code": "373746158",
            "telephone_number": "931-581-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 KING RD",
            "city": "TRACY CITY",
            "state": "TN",
            "postal_code": "373874613",
            "telephone_number": "931-581-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE RESIDENTIAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-12-13",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "931-581-3728"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15775373",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "treeoflifellc2022@outlook.com",
            "affiliation": "N",
            "endpointDescription": "buisness email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "293 King Rd",
            "city": "Tracy City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373874613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas F Phelps, MD
• James Lance Pool
• Daniel Shaver
• Tree of Life Homecare, LLC
• Tree of Life Residential Care, LLC
• Michael Yarworth

• Assisted Living Facility in Tracy City, TN
• Providers in Tracy City, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.