Whitehaven Community Living Center

LBN: Clc Of Whitehaven, Llc
Whitehaven Community Living Center is an health care organization with primary practice located at 1076 Chambliss Rd , Memphis TN 38116-6381. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Clc Of Whitehaven, Llc can be contacted via phone (901) 396-8470, or through Wright, Douglas M. via phone (662) 680-3148.

Contact Information

Primary practice address
1076 Chambliss Rd Memphis TN 38116-6381
Phone: (901) 396-8470
Fax: (901) 398-0271
Website:
Map and Directions
Authorized official contact:
Name: Wright, Douglas M.
Phone: (662) 680-3148

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000258 Tennessee

Profile Details

NPI number 1407846942
LBN Legal business name Clc Of Whitehaven, Llc
DBA Doing business as Whitehaven Community Living Center
Authorized official Wright, Douglas M.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Jan 28th, 2008 - about 16 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 1407846942 NPPES
Tennessee MEDICAID 744-0205

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