Victorian Square Assisted Living Facility

LBN: Victorian Square, Llc
Victorian Square Assisted Living Facility is an health care organization with primary practice located at 241 S Chamberlain Ave , Rockwood TN 37854-6542. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Victorian Square, Llc can be contacted via phone (865) 354-1133, or through Bellande, Ralph H via phone (502) 228-8131.

Contact Information

Primary practice address
241 S Chamberlain Ave Rockwood TN 37854-6542
Phone: (865) 354-1133
Fax: (865) 354-6371
Website:
Map and Directions
Authorized official contact:
Name: Bellande, Ralph H
Phone: (502) 228-8131

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X ACL0000000147 Tennessee

Profile Details

NPI number 1710180955
LBN Legal business name Victorian Square, Llc
DBA Doing business as Victorian Square Assisted Living Facility
Authorized official Bellande, Ralph H
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Jan 24th, 2013 - about 11 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 1710180955 NPPES
Tennessee Other 4262690 TENNCARE/MEDICAID

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