Cumberland Village Center

LBN: Sunbridge Regency - Tennessee Llc
Cumberland Village Center is an health care organization with primary practice located at 136 Davis Lane , La Follette TN 37766-3118. 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. Sunbridge Regency - Tennessee Llc can be contacted via phone (423) 562-0760, or through Divittorio, Thomas via phone (505) 821-3355.

Contact Information

Primary practice address
136 Davis Lane La Follette TN 37766-3118
Phone: (423) 562-0760
Fax: (423) 562-6709
Website:
Map and Directions
Authorized official contact:
Name: Divittorio, Thomas
Phone: (505) 821-3355

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 00000019 Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 00000019 Tennessee

Profile Details

NPI number 1881641389
LBN Legal business name Sunbridge Regency - Tennessee Llc
DBA Doing business as Cumberland Village Center
Authorized official Divittorio, Thomas
Entity Organization
Organization subpart 1 Yes
Enumeration date May 28th, 2006
Last updated Aug 17th, 2018 - about 6 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 1881641389 NPPES
Tennessee Other 000155310 BLUE CROSS/BLUE SHIELD OF
Tennessee MEDICAID 7440435 BLUE CROSS/BLUE SHIELD OF
Tennessee MEDICAID 0445276 BLUE CROSS/BLUE SHIELD OF
Tennessee Other 702021736 BLUE CROSS/BLUE SHIELD OF

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