Knollwood Manor

LBN: Tri-Age Adventures, Inc.
Knollwood Manor is an health care organization with primary practice located at 405 Times Ave , Lafayette TN 37083-1247. 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. Tri-Age Adventures, Inc. can be contacted via phone (615) 666-3170, or through Austin, Linda Ruth via phone (615) 666-3170.

Contact Information

Primary practice address
405 Times Ave Lafayette TN 37083-1247
Phone: (615) 666-3170
Fax: (615) 666-9146
Website:
Map and Directions
Authorized official contact:
Name: Austin, Linda Ruth
Phone: (615) 666-3170

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 168 Tennessee

Profile Details

NPI number 1699872879
LBN Legal business name Tri-Age Adventures, Inc.
DBA Doing business as Knollwood Manor
Authorized official Austin, Linda Ruth
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 21st, 2022 - about 2 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 1699872879 NPPES
Tennessee MEDICAID 0445410
Tennessee MEDICAID 7440570

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