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BORDEAUX LONG TERM CARE NPI 1083609168


NPI Information

NPI: 1083609168
Provider Name: BORDEAUX LONG TERM CARE

Doing Business As: BORDEAUX LONG-TERM CARE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
1414 COUNTY HOSPITAL RD
NASHVILLE, TN
ZIP 37218
Phone: (615) 862-7005
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BORDEAUX LONG TERM CARE is a skilled nursing facility in Nashville, TN. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. BORDEAUX LONG TERM CARE NPI is 1083609168. The provider is registered as an organization entity type.
The provider Is Doing Business As Bordeaux Long-term Care.

The provider's business location address is:

1414 COUNTY HOSPITAL RD
NASHVILLE, TN
ZIP 37218-023
Phone: (615) 862-7005
Fax: (615) 862-6960

The provider's authorized official is Jason Boyd .
The authorized official title is Interim Ceo and has the following contact phone number (615) 341-4491.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 6/3/2013.


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
13336L0003XPharmacyLong Term Care Pharmacy4646322TENNESSEENo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition0175630001TENNESSEENo
3332B00000XDurable Medical Equipment & Medical Supplies0175630001TENNESSEENo
4314000000XSkilled Nursing Facility0000000063TENNESSEENo
5313M00000XNursing Facility/Intermediate Care Facility0000000063TENNESSEENo
6314000000XSkilled Nursing Facility63TENNESSEEYes

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
10175630001MEDICARE NSCTENNESSEE
20445033MEDICAIDTENNESSEE
3445033MEDICARE OSCAR/CERTIFICATIONTENNESSEE
47440149MEDICAIDTENNESSEE
51454877MEDICAIDTENNESSEE
64414330OTHERTENNESSEEPHARMACY

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.