Renaissance Terrace

LBN: Clc Of Harriman, Llc
Renaissance Terrace is an health care organization with primary practice located at 257 Patton Ln , Harriman TN 37748-8618. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Clc Of Harriman, Llc can be contacted via phone (865) 354-3941, or through Wright, Douglas M via phone (662) 680-3148.

Contact Information

Primary practice address
257 Patton Ln Harriman TN 37748-8618
Phone: (865) 354-3941
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wright, Douglas M
Phone: (662) 680-3148

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 212 Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 212 Tennessee

Profile Details

NPI number 1235676156
LBN Legal business name Clc Of Harriman, Llc
DBA Doing business as Renaissance Terrace
Authorized official Wright, Douglas M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2017
Last updated May 26th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235676156 NPPES
Tennessee MEDICAID Q027302
Tennessee MEDICAID Q027303

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