INTEGRITY-PARK TERRACE, LLC (NPI# 1326686064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326686064 |
| Entity Type | Organization |
| Organization Name | INTEGRITY-PARK TERRACE, LLC |
| Practice Address |
712 Broadway St South Fulton TN 38257-2406 |
| Mailing Address |
3053 S Church St Burlington NC 27215-5154 |
| Practice Telephone | 7314791321 |
| Mailing Telephone | 3364381383 |
| Mailing Fax Number | 3364381387 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | JONATHAN SWAIN SHORT (CFO) |
| Authorized Official Telephone | 3364381383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
712 BROADWAY ST |
| City | SOUTH FULTON |
| State | TN |
| Zip Code | 38257-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275882565 | Katherine Hames Cummings | Physician Assistant | 209 West State Line Rd, South Fulton, TN 38257 | 2012-09-03 |
| 1134275019 | Pamela Suzette Milam | Nurse Practitioner | 209 West State Line Rd., South Fulton, TN 38257 | 2007-01-25 |
| 1740268531 | Charles Avery Rice | Optometrist | 207 West State Line, South Fulton, TN 38257 | 2006-01-03 |
| 1396888996 | Charles Wade Andrews I | Pharmacist | 511 Broadway St, South Fulton, TN 38257 | 2007-02-14 |
| 1932382850 | Dr Charles A Rice Od PC | Optometrist | 207 W State Line St, South Fulton, TN 38257-2015 | 2007-12-13 |
| 1982829065 | Audiene M Stoneham Nance | Developmental Therapist | 311 Holmes St, South Fulton, TN 38257-2139 | 2007-04-16 |
| 1306923537 | William Thomas Byars Jr. | Optometrist | 300 Broadway St, South Fulton, TN 38257-2165 | 2006-11-01 |
| 1699315549 | Zearle Frances Robey | Technician | 407 Harris Drive, South Fulton, TN 38257-2325 | 2020-01-08 |
| 1962421487 | Philip Andrews | Pharmacist | 511 Broadway St, South Fulton, TN 38257-2401 | 2006-07-18 |
| 1093720641 | Southside Drug Inc | Pharmacy | 511 Broadway St, Southern Village S/c, South Fulton, TN 38257-2401 | 2006-07-30 |
| Find all providers in zip 38257 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061141 | Morning Pointe Assisted Living | Assisted Living Facility | 324 Mount Bethel Rd, Greeneville, TN 37745-6346 | 2020-10-23 |
| 1467069807 | Goodlettsville Al Mc Care Properties, LLC | Assisted Living Facility | 322 Northcreek Blvd, Goodlettsville, TN 37072-1998 | 2020-09-29 |
| 1417564410 | Lily Healthcare Service | Assisted Living Facility | 4290 Ridgestone Dr Apt 5, Memphis, TN 38128-1837 | 2020-09-24 |
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1275161200 | Mcclain Properties, LLC | Assisted Living Facility | 1320 Bellshire Terrace Dr, Nashville, TN 37207-1734 | 2020-03-27 |
| 1336779248 | Meadow View Senior Living | Assisted Living Facility | 111 Acuff Ln, Clinton, TN 37716-6892 | 2020-01-20 |
| 1104461383 | Denise Senior Living | Assisted Living Facility | 1016 Charlie Daniels Pkwy, Mt Juliet, TN 37122-3064 | 2019-11-12 |
| 1164070454 | Heritage At S Peters Inc | Assisted Living Facility | 273 S Peters Rd, Knoxville, TN 37923-5204 | 2019-08-29 |
| 1316595085 | Snh Tenn Tenant LLC | Assisted Living Facility | 1010 E Spring St, Cookeville, TN 38501-3651 | 2019-08-27 |
| 1427601327 | Pinnacle Assisted Living | Assisted Living Facility | 10520 Waterville Ln, Knoxville, TN 37932-3754 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH FULTON |
| Zip Code | 38257 |
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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.