Boulevard Terrace, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000217 Issued in TN

Legal business name

BOULEVARD TERRACE, LLC

Doing business as

Boulevard Terrace Rehabilitation and Nursing Center, L.P.

Practice address

1530 Middle Tennessee Blvd
Murfreesboro, TN 37130

Phone

(615) 896-4505

Fax

(615) 895-8544

NPI assigned

Nov 11, 2005

Last updated

May 24, 2018By 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

William D Orand

Title

Ceo

Phone

(615) 250-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boulevard Terrace Rehabilitation and Nursing Center, L.P. Doing business as

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1871574129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 OVERLOOK BLVD STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272755",
            "telephone_number": "615-250-7100",
            "fax_number": "615-250-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MIDDLE TENNESSEE BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "615-896-4505",
            "fax_number": "615-895-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD TERRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "ORAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-250-7100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440016",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Terrace Rehabilitation and Nursing Center, L.P.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boulevard Terrace Rehabilitation and Nursing Center, L.P.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda Anne Boss, APRN, BC
• Vivian Bossong, MSRD, LDN, CDCES
• Zakaria M Botros
• Natalie Karen Bouie, FNP-C
• Boulevard Terrace Healthcare LLC (Boulevard Terrace Health and Rehabilitation)
• Jason B Bour, CLC
• Nabil Boutros, MD
• Kirstie Jones Boutwell, ATC, LAT
• Anna N Bowden, MSN, GNP, PMHNP
• Taylor Bowe, COTA/L

• Skilled Nursing Facility in Murfreesboro, TN
• Providers in Murfreesboro, 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 May 24, 2018; 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.