LVK Corporation Senior Care Homes

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

1000000020871 Issued in TN

Legal business name

LVK CORPORATION SENIOR CARE HOMES

Practice address

267 Farner Rd
Farner, TN 37333-6414

Phone

(423) 496-5010

Fax

(423) 496-5010

NPI assigned

Feb 25, 2017

Last updated

Feb 28, 2019By 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

Victoria Sue Carruth

Title

Owner / Manager / Ceo

Phone

(423) 496-5010

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1700326642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 FARNER RD",
            "city": "FARNER",
            "state": "TN",
            "postal_code": "373336414",
            "telephone_number": "423-496-5010",
            "fax_number": "423-496-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 FARNER RD",
            "city": "FARNER",
            "state": "TN",
            "postal_code": "373336414",
            "telephone_number": "423-496-5010",
            "fax_number": "423-496-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LVK CORPORATION SENIOR CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-25",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "CARRUTH",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER / MANAGER / CEO",
        "authorized_official_telephone_number": "423-496-5010"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "TN",
            "license": "1000000020871",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING / MENTAL HEALTH",
            "identifier": "3104A0625X",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q031202",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Favor Holdings Corporation

• Assisted Living Facility (Mental Illness) in Farner, TN
• Providers in Farner, TN by specialty
• Assisted Living Facility (Mental Illness) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.