WELLINGTON MANOR, LLC (NPI# 1154880557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154880557 |
| Entity Type | Organization |
| Organization Name | WELLINGTON MANOR, LLC |
| Practice Address |
375 Hendrick Drive Newport TN 37821-5344 |
| Mailing Address |
59 Lake Morton Dr Lakeland FL 33801-5344 |
| Practice Telephone | 8632260358 |
| Mailing Telephone | 8632260358 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JANIS K STOVALL (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3864786759 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Louis Garrard - Mainstay Senior Living | Former Legal Business Name - Organization |
| Street Address |
375 HENDRICK DRIVE |
| City | NEWPORT |
| State | TN |
| Zip Code | 37821-5344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1972072353 | Meg Marie Collins | Counselor | 990 Hwy 25, Newport, TN 37821 | 2018-11-15 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1255404497 | Jeremy E Sherrod | Pharmacist | 602 E Broadway, Newport, TN 37821 | 2006-11-16 |
| 1316016306 | Stephen Kent Priser | Pharmacist | 468 Eastern Plaza, Newport, TN 37821 | 2006-11-06 |
| 1881770006 | Steven Fuller Smith | Dentist | 305 Cosby Hwy, Newport, TN 37821 | 2006-10-31 |
| Find all providers in zip 37821 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905386 | Memanabel Assisted Living Home Care | Assisted Living Facility | 5161 Pebble Creek Dr, Antioch, TN 37013-1871 | 2020-05-29 |
| 1134699242 | Fountain Springs Healthcare Corp | Assisted Living Facility | 637 Lake Terrace Dr, Nashville, TN 37217-4212 | 2018-12-01 |
| 1720580624 | Renee's House of Care | Assisted Living Facility | 2068 Lee Cv, Memphis, TN 38127-3322 | 2018-03-06 |
| 1225568389 | Balance Homecare LLC | Assisted Living Facility | 2611 Herman St, Nashville, TN 37208-3234 | 2017-06-12 |
| 1700281524 | Trucare Transformation | Assisted Living Facility | 607 Neill Ave, Nashville, TN 37206-3923 | 2014-10-23 |
| 1497163760 | Comer House of Nashville LLC | Assisted Living Facility | 1603 14th Ave N, Nashville, TN 37208-2034 | 2014-07-30 |
| 1821337866 | Leann Care LLC | Assisted Living Facility | 33 Rawlig Wood Cove Ave, Jackson, TN 38305 | 2013-02-12 |
| 1588994560 | Serenity Homes LLC | Assisted Living Facility | 3313 Cotton Bale Cv, Memphis, TN 38119-8971 | 2010-01-13 |
| 1770760829 | Davidson County Assisted Living LLC | Assisted Living Facility | 6961 Highway 70 S, Nashville, TN 37221-2204 | 2008-01-30 |
| 1710180955 | Victorian Square, LLC | Assisted Living Facility | 241 S Chamberlain Ave, Rockwood, TN 37854-6542 | 2007-06-06 |
| Find all providers with the same taxonomy | ||||
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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.