Mount Juliet SNF Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOUNT JULIET SNF HEALTHCARE LLC

Doing business as

Cedar Creek Post Acute

Practice address

2650 N Mount Juliet Rd
Mount Juliet, TN 37122-8015

Phone

(615) 758-4100

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Mitchell

Title

Secretary

Phone

(385) 988-3319

Specialties & licenses 1

Addresses

Other names 1

• CEDAR CREEK POST ACUTE Doing business as

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1851128268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975",
            "telephone_number": "385-518-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228015",
            "telephone_number": "615-758-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT JULIET SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEDAR CREEK POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claire Morrison, COTA/L
• Emory Morrow
• Christina Yvette Mosley
• Mount Juliet Family Dentistry
• Mount Juliet Senior Living, LLC (Providence Place of Mount Juliet)
• Christina Lee Mountain, D.O.
• Pamela Sue Mowry, PTA
• Edward Winter Moyers, PT
• Kayla Moyers
• Mt Juliet Chiropractic PC

• Skilled Nursing Facility in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.