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SENIOR HOUSE MANAGEMENT NPI 1699057604


NPI Information

NPI: 1699057604
Provider Name: SENIOR HOUSE MANAGEMENT

Former Legal Business Name: THE VILLAGE AT ALLANDALE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
600 STRICKLAND CT
KINGSPORT, TN
ZIP 37660
Phone: (423) 256-0002
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SENIOR HOUSE MANAGEMENT is an assisted living facility in Kingsport, TN. The provider is 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. SENIOR HOUSE MANAGEMENT NPI is 1699057604. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Village At Allandale.

The provider's business location address is:

600 STRICKLAND CT
KINGSPORT, TN
ZIP 37660-434
Phone: (423) 256-0002
Fax: (423) 357-4242

The provider's authorized official is Dava A Snyder .
The authorized official title is Administrator and has the following contact phone number (423) 256-0002.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 9/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385H00000XRespite CareACL0000000239TENNESSEENo
2310400000XAssisted Living FacilityACL0000000239TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10445829MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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