Mount Juliet Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOUNT JULIET SENIOR LIVING, LLC

Practice address

1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122-3064

Phone

(615) 758-4800

NPI assigned

Sep 2, 2022

Organization subpart

No

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

Authorized official

Name

Molly Patton

Title

Executive Director

Phone

(615) 758-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Providence Place of Mount Juliet Doing business as

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1801516315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CHARLIE DANIELS PKWY",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223064",
            "telephone_number": "615-758-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CHARLIE DANIELS PKWY",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223064",
            "telephone_number": "615-758-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT JULIET SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-758-4800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445123",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Place of Mount Juliet",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence Place of Mount Juliet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Morris
• Claire Morrison, COTA/L
• Emory Morrow
• Christina Yvette Mosley
• Mount Juliet Family Dentistry
• Mount Juliet SNF Healthcare LLC
• Christina Lee Mountain, D.O.
• Pamela Sue Mowry, PTA
• Edward Winter Moyers, PT
• Kayla Moyers

• Assisted Living Facility in Mt Juliet, TN
• Providers in Mt Juliet, 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 Mar 21, 2024; 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.