FAYETTEVILLE OPERATOR LLC


Address: 115 Medical Center Blvd, Fayetteville, TN 37334-2689
Phone: 9314335000

FAYETTEVILLE OPERATOR LLC (NPI# 1336772086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336772086
Entity Type Organization
Organization Name FAYETTEVILLE OPERATOR LLC
Practice Address 115 Medical Center Blvd
Fayetteville
TN 37334-2689
Mailing Address 8000 Westpark Dr Ste 495
Mc Lean
VA 22102-3100
Practice Telephone 9314335000
Mailing Telephone 7038155800
Enumeration Date 2020-02-20
Last Update Date 2020-02-20
Authorized Official Name HESSAM ZARRABINIA (CFO)
Authorized Official Telephone 7038155800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Lincoln Manor Doing Business As Name - Organization

Office Location

Street Address 115 MEDICAL CENTER BLVD
City FAYETTEVILLE
State TN
Zip Code 37334-2689

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619274644 Southern Manor Living Centers, LLC Assisted Living Facility 115 Medical Center Blvd, Fayetteville, TN 37334-2689 2011-02-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902385198 Denisia Bernadette Maldonado Specialist/Technologist, Other 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 2018-08-09
1457801011 Joshua Meadows Specialist/Technologist 101 Industrial Blvd, Fayetteville, TN 37334 2016-10-07
1891083762 Kathryn Clare Moran Physical Therapist 1412 Huntsville Hwy, Fayetteville, TN 37334 2011-07-13
1891997714 Calvin H Parks Chiropractor 1321 Huntsville Hwy, Fayetteville, TN 37334 2007-06-04
1225249691 Stacey Starr Pace Family Medicine 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 2007-05-25
1144388992 Tom Spain Bigham IIi Dentist 608 West College Street, Fayetteville, TN 37334 2006-12-05
1932286259 Alan B Drewry Dentist 602 West College Street, Fayetteville, TN 37334 2006-11-01
1083724561 Samuel Michael Ashby Internal Medicine 804 William D Jones Blvd, Fayetteville, TN 37334 2006-08-30
1194336818 Collin Amos Pharmacist 1000 Huntsville Hwy, Fayetteville, TN 37334 2020-08-14
1629450614 William Daniel Nurse Practitioner 106 Medical Center Blvd, Fayetteville, TN 37334 2015-06-25
Find all providers in zip 37334

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306383450 Family First Operating, LLC Assisted Living Facility 113 Medical Center Blvd, Fayetteville, TN 37334-2685 2017-01-27
1235494246 Phenix Enterprise Services, LLC Assisted Living Facility 180 Championship Ct, Fayetteville, GA 30215-8017 2012-07-06
1619274644 Southern Manor Living Centers, LLC Assisted Living Facility 115 Medical Center Blvd, Fayetteville, TN 37334-2689 2011-02-28
1871723791 Carillon Assisted Living of Fayetteville, LLC Assisted Living Facility 1164 71st School Rd, Fayetteville, NC 28314-2817 2009-07-27
1750517496 Miracle Restoration Assisted Living Facility 4850 Old Savannah Church Rd, Fayetteville, NC 28312-9183 2009-06-09
1770737504 Lauren & Londen, Inc. Assisted Living Facility 610 Mann St, Fayetteville, NC 28301-6240 2008-11-06
1003079872 Valley Pines Adult Care Assisted Living Facility 2521 Muriel Dr, Fayetteville, NC 28306-3213 2008-07-02
1740466937 Magnolia Lane LLC Assisted Living Facility 3510 Camden Rd, Fayetteville, NC 28306-7717 2008-01-17
1528189917 Cedar Creek Assisted Living, LLC Assisted Living Facility 1124 Cedar Creek Rd, Fayetteville, NC 28312-6544 2007-04-03
1346370459 Peterkin & Associates, Inc. Assisted Living Facility 7559 Decatur Dr, Fayetteville, NC 28303-1989 2007-03-07
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 37334

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Dataset Information

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.

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