Organization Active NPI

Summit View of Farragut, LLC

  • Skilled Nursing Facility
  • Knoxville, TN
National Provider Identifier
1891701645
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUMMIT VIEW OF FARRAGUT, LLC
Practice address
12823 Kingston Pike
Knoxville, TN 37934-0920
Phone
(865) 966-0600
Fax
(865) 675-4154
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mr. Ronald E Lawrence, NHA, MBA
Title
President, Owner
Phone
(865) 675-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

12823 Kingston Pike
Knoxville, TN 37934-0920

Mailing address

PO Box 22280
Knoxville, TN 37933-0280
Phone (865) 966-0600

Other identifiers 3

IdentifierTypeStateIssuer
113709OtherTNBCBS#
7440449MedicaidTN
044-5258MedicaidTN

Other names 1

  • Farragut Health Care Center Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1891701645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22280",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379330280",
            "telephone_number": "865-966-0600",
            "fax_number": "865-675-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12823 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340920",
            "telephone_number": "865-966-0600",
            "fax_number": "865-675-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT VIEW OF FARRAGUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "865-675-6444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA, MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS#",
            "identifier": "113709",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440449",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044-5258",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farragut Health Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.