BORDEAUX LONG TERM CARE (NPI# 1083609168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083609168 |
| Entity Type | Organization |
| Organization Name | BORDEAUX LONG TERM CARE |
| Other Organization Name | BORDEAUX LONG-TERM CARE |
| Practice Address |
1414 County Hospital Rd Nashville TN 37218-3023 |
| Practice Telephone | 6158627005 |
| Practice Fax Number | 6158626960 |
| Mailing Telephone | 6158627005 |
| Mailing Fax Number | 6158626960 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | MR. JASON BOYD (INTERIM CEO) |
| Authorized Official Telephone | 6153414491 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
4646322 | TN | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
0175630001 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0175630001 | TN | Suppliers |
| N | 314000000X | Skilled Nursing Facility | 0000000063 | TN | Nursing & Custodial Care Facilities |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000063 | TN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 63 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445033 | 05 | |
| TN | 1454877 | 05 | |
| TN | PHARMACY | 4414330 | 01 |
| TN | 7440149 | 05 |
| Other Name | Type Code |
|---|---|
| Bordeaux Long-Term Care | Doing Business As Name - Organization |
| Street Address |
1414 COUNTY HOSPITAL RD |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37218-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053874073 | Lindsay Eileen Hannapel | Nurse Practitioner | 1414 County Hospital Rd, Nashville, TN 37218-3023 | 2019-04-08 |
| 1518382852 | Lp North Nashville, LLC | Skilled Nursing Facility | 1414 County Hospital Rd, Nashville, TN 37218-3023 | 2014-02-24 |
| 1548533243 | Sandra Louise Laster | Occupational Therapy Assistant | 1414 County Hospital Rd, Nashville, TN 37218-3023 | 2012-02-12 |
| 1316259369 | Christine M Stengel | Nurse Practitioner | 1414 County Hospital Rd, Nashville, TN 37218-3023 | 2010-07-07 |
| 1922331842 | Physician Services of Middle Tennessee, LLC | Internal Medicine | 1414 County Hospital Rd, Nashville, TN 37218-3023 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710382221 | House of New Horizon | Custodial Care Facility | 3234 Kings Lane, Nashville, TN 37218 | 2014-10-27 |
| 1912139148 | Angela L Rogan | Driver | 3237 Briarwick Dr, Nashville, TN 37218 | 2009-08-21 |
| 1871623801 | Roland W Gray | Internal Medicine | 3410 Clarksville Hwy, Nashville, TN 37218 | 2007-03-07 |
| 1528023678 | Cumberland Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 4343 Ashland City Hwy, Nashville, TN 37218 | 2006-04-20 |
| 1346217999 | Michael Nitari Darville | Internal Medicine | 1412 County Hospital Rd, Nashville, TN 37218 | 2006-03-02 |
| 1497721518 | Xuhan Shelia Zhang | Hospitalist | 1412 County Hospital Rd, Nashville, TN 37218 | 2006-02-28 |
| 1124677471 | Janice Lacy | Speech-Language Pathologist | 3309 Brome Ln, Nashville, TN 37218-1038 | 2019-09-10 |
| 1164976106 | Marian Evans | Social Worker | 3345 Brome Ln, Nashville, TN 37218-1038 | 2016-08-08 |
| 1790180552 | Carol Campbell | Clinical Nurse Specialist | 3723 Stevens Ln, Nashville, TN 37218-1205 | 2014-10-22 |
| 1700996949 | Omega Rehabilitation Group | Specialist | 3733 Stevens Ln, Nashville, TN 37218-1205 | 2006-08-30 |
| Find all providers in zip 37218 | ||||
| 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 |
|---|---|---|---|---|
| 1780040139 | Nhc Place At The Trace LLC | Skilled Nursing Facility | 8353 Highway 100, Nashville, TN 37221-4009 | 2016-01-14 |
| 1568705465 | Trevecca H&r Nursing, LLC | Skilled Nursing Facility | 329 Murfreesboro Pike, Nashville, TN 37210-2834 | 2013-03-29 |
| 1063627487 | Intelligent Therapy Staffing, Inc. | Skilled Nursing Facility | 2759 Rosedale Pl, Nashville, TN 37211-2080 | 2007-05-11 |
| 1679612162 | Omni Visions, Inc. | Skilled Nursing Facility | 301 South Perimeter Park Drive, Suite 110, Nashville, TN 37211 | 2007-02-05 |
| 1467599563 | Vanderbilt University | Skilled Nursing Facility | 1161 21st Avenue, South, S-7400 Medical Center North, Nashville, TN 37232 | 2007-01-30 |
| 1083782080 | Benson Nursing Home, Inc | Skilled Nursing Facility | 1315 S Hutchinson St, Nashville, AR 71852-3259 | 2006-11-30 |
| 1629179296 | Orion Nashville LLC | Skilled Nursing Facility | 701 Porter Rd, Nashville, TN 37206-1743 | 2006-09-26 |
| 1063462224 | River Park Health Care LLC | Skilled Nursing Facility | 1306 Katie St, Nashville, TN 37207-5318 | 2006-05-10 |
| 1982673679 | Bn Healthcare, LLC | Skilled Nursing Facility | 1022 Eastern Ave, Nashville, NC 27856-1718 | 2006-03-15 |
| 1396724845 | Vanguard of Crestview, LLC | Skilled Nursing Facility | 2030 25th Ave N, Nashville, TN 37208 | 2006-01-12 |
| Find all providers in NASHVILLE | ||||
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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.