Mckendree Village, Inc.

LBN: Mckendree Village, Inc.
Mckendree Village, Inc. is an health care organization with primary practice located at 4347 Lebanon Pike , Hermitage TN 37076-1243. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Mckendree Village, Inc. can be contacted via phone (615) 871-8600, or through Womeldorf, Maryanna via phone (615) 871-8706.

Contact Information

Primary practice address
4347 Lebanon Pike Hermitage TN 37076-1243
Fax:
Website:
Authorized official contact:
Name: Womeldorf, Maryanna

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 58 Tennessee

Profile Details

NPI number 1508848771
LBN Legal business name Mckendree Village, Inc.
DBA Doing business as
Authorized official Womeldorf, Maryanna
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Aug 30th, 2007 - about 17 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 1508848771 NPPES
Tennessee MEDICAID 7440130

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