ST PETER VILLA INC (NPI# 1447240882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447240882 |
| Entity Type | Organization |
| Organization Name | ST PETER VILLA INC |
| Practice Address |
141 N Mclean Blvd Memphis TN 38104-2693 |
| Practice Telephone | 9012762021 |
| Practice Fax Number | 9017253564 |
| Mailing Telephone | 9012762021 |
| Mailing Fax Number | 9017253564 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KAE WERHOVEN (ADMINISTRATOR) |
| Authorized Official Telephone | 9012762021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 255 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7440447 | 05 |
| Street Address |
141 N MCLEAN BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659321 | Vitae Health Medical Tennessee Pllc | Internal Medicine | 141 N Mclean Blvd, Memphis, TN 38104-2693 | 2020-01-28 |
| 1215593991 | Integrated Wound Care Tennessee Pllc | General Practice | 141 N Mclean Blvd, Memphis, TN 38104-2693 | 2019-05-17 |
| 1134636384 | Midtown Center for Health and Rehabilitation, LLC | Respite Care | 141 N Mclean Blvd, Memphis, TN 38104-2693 | 2018-01-09 |
| 1164939666 | Midtown Center for Rehabilitation and Healing, LLC | Skilled Nursing Facility | 141 N Mclean Blvd, Memphis, TN 38104-2693 | 2018-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922493592 | Oaktree Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 6500 Kirby Gate Cv, Memphis, TN 38119-8203 | 2015-04-01 |
| 1548303704 | Highlands of Memphis, LLC | Nursing Facility/Intermediate Care Facility | 3549 Norriswood Ave, Memphis, TN 38111 | 2007-02-15 |
| 1053375634 | Harbor View Nursing and Rehabilitation Center Inc | Nursing Facility/Intermediate Care Facility | 1513 N 2nd St, Memphis, TN 38107 | 2006-04-12 |
| 1366406068 | Bright Glade Health and Rehabilitation Center Inc | Nursing Facility/Intermediate Care Facility | 5070 Sanderlin Ave, Memphis, TN 38117 | 2006-04-12 |
| 1972583813 | Trezevant Episcopal Home | Nursing Facility/Intermediate Care Facility | 177 N Highland St, Memphis, TN 38111-4747 | 2006-01-18 |
| 1265411631 | Hqm of Memphis, LLC | Nursing Facility/Intermediate Care Facility | 1150 Dovecrest Rd, Memphis, TN 38134-7621 | 2006-01-12 |
| 1508022054 | Thomas H Lawrence Iv | Nursing Facility/Intermediate Care Facility | 1076 Chambliss Rd, Memphis, TN 38116-6381 | 2008-08-04 |
| 1831250604 | Ave Maria Home | Nursing Facility/Intermediate Care Facility | 2805 Charles Bryan Rd, Memphis, TN 38134-4756 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265779086 | White House Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 2871 Highway 31 W, White House, TN 37188-5226 | 2013-01-14 |
| 1912289208 | Sonja Teresa Dishman | Nursing Facility/Intermediate Care Facility | 521 Potter Rd, Jamestown, TN 38556-4120 | 2011-09-13 |
| 1427350123 | At Home Health Services, LLC | Nursing Facility/Intermediate Care Facility | 22 Monument Rd, Suite 100, Summertown, TN 38483-7644 | 2010-12-01 |
| 1811218324 | Christian Care Center of Rutherford County LLC | Nursing Facility/Intermediate Care Facility | 202 Enon Springs Road East, Smyrna, TN 37167 | 2010-06-18 |
| 1619296936 | Dr Casey Kim Pllc | Nursing Facility/Intermediate Care Facility | 7902 Eagle Mere Rd, Chattanooga, TN 37421-7315 | 2010-05-26 |
| 1053556274 | Johnson City Health Property Investors, LLC | Nursing Facility/Intermediate Care Facility | 400 N Boone St, Johnson City, TN 37604-5635 | 2008-12-03 |
| 1598912537 | Agape Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 2020 Northpark, Suite 2f, Johnson City, TN 37604-3127 | 2008-08-21 |
| 1063614113 | Trina Wright | Nursing Facility/Intermediate Care Facility | 265 Margaret Cir, Mc Minnville, TN 37110-6815 | 2007-06-01 |
| 1841311404 | Ssc Newport Operating Company LLC | Nursing Facility/Intermediate Care Facility | 135 Generation Dr, Newport, TN 37821-8018 | 2007-04-02 |
| 1851423792 | Mitchell Manor Inc | Nursing Facility/Intermediate Care Facility | 152 S College St, Lebanon, TN 37087-3643 | 2007-03-09 |
| Find all providers with the same taxonomy | ||||
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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.