Active NPI
River Oaks Place of Loudon, LLC
- Assisted Living Facility
- Loudon, TN
National Provider Identifier
1831976315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- RIVER OAKS PLACE OF LOUDON, LLC
- Practice address
- 1101 Grove Street
Loudon, TN 37774 - Phone
- (865) 458-5841
- Fax
- (865) 458-0960
- NPI assigned
- Sep 11, 2023
- 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
- Mrs. Christine Landis Trentham
- Title
- Executive VP of Operations & Clinic
- Phone
- (865) 293-6563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1101 Grove Street
Loudon, TN 37774
Mailing address
1101 Grove Street
Loudon, TN 37774
Phone (865) 458-5841
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 |
|---|---|---|---|
| 44D2108229 | River Oaks Place | Certificate of waiver | Jan 31, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1831976315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 GROVE STREET",
"city": "LOUDON",
"state": "TN",
"postal_code": "37774",
"telephone_number": "865-458-5841",
"fax_number": "865-458-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 GROVE STREET",
"city": "LOUDON",
"state": "TN",
"postal_code": "37774",
"telephone_number": "865-458-5841",
"fax_number": "865-458-0960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER OAKS PLACE OF LOUDON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"status": "A",
"authorized_official_last_name": "TRENTHAM",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "LANDIS",
"authorized_official_title_or_position": "EXECUTIVE VP OF OPERATIONS & CLINIC",
"authorized_official_telephone_number": "865-293-6563",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loudon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.