Active NPI
Bedrockhc at Spring Meadows LLC
- Skilled Nursing Facility
- Clarksville, TN
National Provider Identifier
1780140731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BEDROCKHC AT SPRING MEADOWS LLC
- Practice address
- 220 Highway 76
Clarksville, TN 37043-4102 - Phone
- (931) 552-0219
- Fax
- (931) 552-9683
- NPI assigned
- Feb 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth D Nichols
- Title
- Manager
- Phone
- (813) 777-4663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
220 Highway 76
Clarksville, TN 37043-4102
Mailing address
220 Highway 76
Clarksville, TN 37043-4102
Phone (931) 552-0219
National Provider Directory
National Provider DirectoryLocations
220 Highway 76
Clarksville, TN 37043
Phone (931) 552-0181
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Clarksville, TN
- NPI 1487678835
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1538103692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550102400000",
"number": "1780140731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HIGHWAY 76",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434102",
"telephone_number": "931-552-0219",
"fax_number": "931-552-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HIGHWAY 76",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434102",
"telephone_number": "931-552-0219",
"fax_number": "931-552-9683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEDROCKHC AT SPRING MEADOWS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-14",
"last_updated": "2019-02-14",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "813-777-4663"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.