IVY CREST ACLF NPI 1487315255

NPI Information

  • NPI: 1487315255
  • Provider Name: IVY CREST, ACLF
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 101 IVY LANE
    PULASKI, TN
    ZIP 38478
  • Phone: (931) 363-3633

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NPI Details

IVY CREST, ACLF is an assisted living facility in Pulaski, 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. IVY CREST, ACLF NPI is 1487315255. The provider is registered as an organization entity type.

The provider's business location address is:

101 IVY LANE
PULASKI, TN
ZIP 38478
Phone: (931) 363-3633
Fax: (931) 363-3686

The provider's authorized official is Cora Marie Pratt .
The authorized official title is Administrator and has the following contact phone number (931) 363-3633.

The enumeration date for this NPI number is 1/4/2022 and was last updated on 1/4/2022.

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 FacilityYes

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: 11/21/2025

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