Carriage House Inn Inc
Organization Active NPI Assisted Living Facility · Shelbyville, TN
NPI 1962739672 · NPPES record last updated Nov 17, 2009
Key facts
- NPI
- 1962739672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 00000260 (TN)
- Legal business name
- CARRIAGE HOUSE INN INC
- Practice address
- 311 Colloredo Blvd
Shelbyville, TN 37160-2765 - Phone
- (931) 684-1155
- Fax
- (931) 684-1156
- NPI assigned
- Nov 17, 2009
- Organization subpart
- No
Authorized official
- Name
- Victoria M Bailey
- Title
- Ceo
- Phone
- (931) 684-1155
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2108239 | Carriage House Inn, LLC | Certificate of waiver | Jan 31, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 00000260 | TN | Yes |
| Alzheimer Center (Dementia Center) | 311500000X | 00000260 | TN | |
| Respite Care | 385H00000X | 00000260 | TN |
Addresses
Primary practice location
311 Colloredo Blvd
Shelbyville, TN 37160-2765
Mailing address
2000 Mallory LN
130372
Franklin, TN 37067-8209
Phone (931) 684-1155
Other providers in Shelbyville, TN
- William Calder
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- Lorrie Cares
- Carmel Clinic Corporation
- Ryan Michael Carr
- Marie Carter
- Jacey Cartwright
- Kasey Lynn Cartwright
- Beverly Kay Cashion
- Kesha Torentia Casseus
All providers in Shelbyville, TN · Assisted Living Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.