SENIOR LIFESTYLES. LLC (NPI# 1801383013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801383013 |
| Entity Type | Organization |
| Organization Name | SENIOR LIFESTYLES. LLC |
| Practice Address |
1125 Deer Creek Dr Cookeville TN 38501-6680 |
| Mailing Address |
723 W Jackson St Cookeville TN 38501-3993 |
| Practice Telephone | 9312737900 |
| Mailing Telephone | 9312737900 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | BRANDI D LAWSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9312737900 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283Q00000X | Psychiatric Hospital | 1000000021008 | TN | Hospitals |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1000000021008 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q033896 | 05 |
| Street Address |
1125 DEER CREEK DR |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-6680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992007348 | La Management Company | Specialist | 1125 Deer Creek Dr, Cookeville, TN 38501-6680 | 2010-11-17 |
| 1649764481 | Absolute Care, LLC | Clinic/Center | 1125 Deer Creek Dr, Cookeville, TN 38501 | 2018-06-15 |
| 1730696105 | Senior Lifestyles LLC | Nurse Practitioner | 1125 Deer Creek Dr, Cookeville, TN 38501-6680 | 2018-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538568985 | John B. Averitt, Ph.d., Licensed Psychologist | Clinic/Center | 100 W 4th St, Suite 300, Cookeville, TN 38501-2448 | 2014-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662166 | Restore Counseling Service | Clinic/Center | 1200 Fowler Ln Apt C8, Clinton, TN 37716-3236 | 2020-03-01 |
| 1467002667 | Renaissance Healthcare Group LLC | Clinic/Center | 1222 Goose Gap Rd, Sevierville, TN 37876-2656 | 2019-09-19 |
| 1396303624 | Zen-inspired Counseling and Wellness Center | Clinic/Center | 269 Germantown Bend Cv, Cordova, TN 38018-4287 | 2019-06-01 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1407341753 | Pho LLC | Clinic/Center | 100 Winners Cir N Ste 120, Brentwood, TN 37027-5012 | 2018-06-28 |
| 1336679257 | The Ross Center | Clinic/Center | 610 Maplewood Ln, Nashville, TN 37216-1607 | 2017-06-13 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| 1376913947 | Better Life Counseling Services | Clinic/Center | 555 Marriott Dr, Suite 315, Nashville, TN 37214-5020 | 2015-09-25 |
| 1285002154 | Behavioral Health and Wellness | Clinic/Center | 21205 Highway 22, Mc Kenzie, TN 38201-8683 | 2015-09-09 |
| 1164890315 | Harp Professional Counseling and Consulting | Clinic/Center | 1309 Green Forest Dr, Mount Juliet, TN 37122-6028 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.