CLC OF LEXINGTON, LLC (NPI# 1043200777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043200777 |
| Entity Type | Organization |
| Organization Name | CLC OF LEXINGTON, LLC |
| Other Organization Name | BRIARWOOD COMMUNITY LIVING CENTER |
| Practice Address |
41 Hospital Dr Lexington TN 38351-1423 |
| Mailing Address |
41 Hospital Dr P.o. Box 1067 Lexington TN 38351-1423 |
| Practice Telephone | 7319686629 |
| Practice Fax Number | 7319670576 |
| Mailing Telephone | 7319686629 |
| Mailing Fax Number | 7319670576 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | MR. DOUGLAS M. WRIGHT JR. (MANAGING MEMBER) |
| Authorized Official Telephone | 6626803148 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0000000127 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 744-0152 | 05 |
| Other Name | Type Code |
|---|---|
| Briarwood Community Living Center | Doing Business As Name - Organization |
| Street Address |
41 HOSPITAL DR |
| City | LEXINGTON |
| State | TN |
| Zip Code | 38351-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316375769 | Holli Helms | Speech-Language Pathologist | 41 Hospital Dr, Lexington, TN 38351-1423 | 2013-10-23 |
| 1518264126 | Desiree Christine Swinney | Occupational Therapy Assistant | 41 Hospital Dr, Lexington, TN 38351-1423 | 2011-02-16 |
| 1053635672 | Alexis Leann German | Occupational Therapy Assistant | 41 Hospital Dr, Lexington, TN 38351-1423 | 2010-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1659627388 | Candace S Willis | Nurse Practitioner | 864 W Church St Ste A, Lexington, TN 38351 | 2012-07-31 |
| 1356650329 | Robert W Spain | Pharmacist | 654 West Church St, Lexington, TN 38351 | 2010-09-24 |
| 1699944819 | Cynthia Williams | Physical Therapy Assistant | 52 First St, Lexington, TN 38351 | 2008-02-21 |
| 1588703615 | Pansy Hayes Davis | Preventive Medicine | 90 Rush St, Lexington, TN 38351 | 2007-02-05 |
| 1467505958 | Tara Hendrix | Nurse Practitioner | 9550 Hwy 412w Suite C, Lexington, TN 38351 | 2007-01-19 |
| 1760532923 | State of Tennessee | Public Health or Welfare | 90 Rush Street, Lexington, TN 38351 | 2007-01-11 |
| 1154402667 | Professional Arts Pharmacy, LLC | Pharmacy | 270 West Church St Suite C, Lexington, TN 38351 | 2006-10-18 |
| 1891881090 | Jones Pharmacy, LLC | Pharmacy | 101 Lexington Plaza, Lexington, TN 38351 | 2006-10-05 |
| 1366453060 | Tommy Wayne Page | Dentist | 104 Lexington Plaza, Lexington, TN 38351 | 2006-08-10 |
| Find all providers in zip 38351 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780114249 | Wellmore of Lexington LLC | Skilled Nursing Facility | 200 Wellmore Drive, Lexington, SC 29072 | 2017-06-18 |
| 1275081325 | Trilogy Healthcare of Fayette II LLC | Skilled Nursing Facility | 2710 Man O War Blvd, Lexington, KY 40515-3801 | 2016-09-19 |
| 1275906588 | Hope Lykins, Slp | Skilled Nursing Facility | 3692 Cottage Cir, Lexington, KY 40513-1106 | 2015-11-09 |
| 1619303013 | Trilogy Healthcare of Fayette IIi, LLC | Skilled Nursing Facility | 1376 Silver Springs Dr, Lexington, KY 40511-2319 | 2013-09-18 |
| 1457614075 | Trilogy Healthcare of Fayette I, LLC | Skilled Nursing Facility | 2531 Old Rosebud Rd, Lexington, KY 40509-4574 | 2012-06-19 |
| 1811192115 | Presbyterian Communities of South Carolina | Skilled Nursing Facility | 700 Davega Dr, Lexington, SC 29073-9698 | 2007-06-18 |
| 1740351733 | Rose Manor Hcf Limited | Skilled Nursing Facility | 3057 N Cleveland Rd, Lexington, KY 40516-9617 | 2006-11-13 |
| 1518050657 | N & R of Pimlico, LLC | Skilled Nursing Facility | 3576 Pimlico Pkwy, Lexington, KY 40517-3700 | 2006-10-02 |
| 1407947773 | N & R of Cambridge LLC | Skilled Nursing Facility | 2020 Cambridge Dr, Lexington, KY 40504-1912 | 2006-09-28 |
| 1962509505 | Golden Age of Lexington, Inc. | Skilled Nursing Facility | 4748 Old Salisbury Rd, Lexington, NC 27295-7827 | 2006-09-17 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.