Signature Living of Jefferson City, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SIGNATURE LIVING OF JEFFERSON CITY, LLC

Practice address

129 Mossy Creek Dr
Jefferson Cty, TN 37760-1401

Phone

(865) 262-9999

Fax

(865) 262-0902

NPI assigned

Jan 29, 2016

Last updated

Jan 29, 2016By 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

Mr. John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1760840250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MOSSY CREEK DR",
            "city": "JEFFERSON CTY",
            "state": "TN",
            "postal_code": "377601401",
            "telephone_number": "865-262-9999",
            "fax_number": "865-262-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE LIVING OF JEFFERSON CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Guisadio, PT
• Philip Charles Naglitch, DNAP, CRNA
• Nuview Health Tennessee, PC
• Kali Renee Rutherford, PA
• Tiffany Jackson Teague, FNP-BC

• Assisted Living Facility in Jefferson Cty, TN
• Providers in Jefferson Cty, 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 Jan 29, 2016; 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.