JAMESTOWNE ASSISTED LIVING NPI 1003954793

NPI Information

  • NPI: 1003954793
  • Provider Name: JAMESTOWNE ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: JAMESTOWNE, AN ASSISTED LIVING COMMUNITY
  • CLIA Number: 44D2108231
  • Address: 851 LAWNVILLE RD
    KINGSTON, TN
    ZIP 37763
  • Phone: (865) 376-3030

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NPI Details

JAMESTOWNE ASSISTED LIVING is an assisted living facility in Kingston, 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. JAMESTOWNE ASSISTED LIVING NPI is 1003954793. The provider is registered as an organization entity type.
The provider Is Doing Business As Jamestowne, An Assisted Living Community.

The provider's business location address is:

851 LAWNVILLE RD
KINGSTON, TN
ZIP 37763-666
Phone: (865) 376-3030
Fax: (865) 376-3035

The provider's authorized official is Christina L Trentham .
The authorized official title is Vp Of Operations and has the following contact phone number (865) 293-6563.

The CLIA number assigned to this NPI record is 44D2108231 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 4/3/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityACL0000000037TENNESSEEYes

What is NPI?

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This page was last updated on: 11/21/2025

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