Active NPI
Richland Place Senior Living
- Assisted Living Facility
- Portland, TN
National Provider Identifier
1811219397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ACL0000000299
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2037565 | Richland Place Senior Living Center | Certificate of waiver | Feb 29, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.