McMinnville Boarding Home for the Elderly

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000170 Issued in TN

Legal business name

MCMINNVILLE BOARDING HOME FOR THE ELDERLY

Practice address

345 Garfield St.
McMinnville, TN 37110

Phone

(931) 473-4760

Fax

(931) 474-8765

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Alma Dean McCormick

Title

Owners

Phone

(931) 473-4760

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline T Smith, DPM

  • Podiatrist
  • MC Minnville, TN
  • NPI 1891737854
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1811225568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 GARFIELD ST.",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "37110",
            "telephone_number": "931-473-4760",
            "fax_number": "931-474-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 GARFIELD ST.",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "37110",
            "telephone_number": "931-473-4760",
            "fax_number": "931-474-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE BOARDING HOME FOR THE ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNERS",
        "authorized_official_telephone_number": "931-473-4760",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445153",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Leigh McGregor, RDN
• Mattie Cantrell McGregor
• Jeffrey McKinley, D.C.
• Charity Parker McMackins, LCSW
• Caitlin McMahan, PHARMD
• McMinnville Drug Center Inc
• McMinnville Manor Opco LLC
• McMinnville Pain Relief Center
• McMinnville Physical Therapy, LLC
• McMinnville Recovery Center

• Assisted Living Facility in McMinnville, TN
• Providers in McMinnville, 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 Nov 18, 2009; 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.