Organization Active NPI

Richland Place Senior Living

  • Assisted Living Facility
  • Portland, TN
National Provider Identifier
1811219397
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ACL0000000299 Issued in TN
Legal business name
RICHLAND PLACE SENIOR LIVING
Practice address
201 Richland Lake Dr
Portland, TN 37148-1775
Phone
(615) 325-4440
Fax
(615) 325-4407
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Ms. Danette Lan Wilson
Title
Administrator
Phone
(615) 325-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ACL0000000299 TN Primary

Addresses

Primary practice location

201 Richland Lake Dr
Portland, TN 37148-1775

Mailing address

201 Richland Lake Dr
Portland, TN 37148-1775
Phone (615) 325-4440

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2037565Richland Place Senior Living Center201 Richland Lake Dr, Portland, TN 37148Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1811219397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RICHLAND LAKE DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481775",
            "telephone_number": "615-325-4440",
            "fax_number": "615-325-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RICHLAND LAKE DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481775",
            "telephone_number": "615-325-4440",
            "fax_number": "615-325-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND PLACE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "LAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-325-4440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.