VANGUARD OF CRESTVIEW, LLC (NPI# 1396724845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396724845 |
| Entity Type | Organization |
| Organization Name | VANGUARD OF CRESTVIEW, LLC |
| Other Organization Name | CRESTVIEW HEALTH AND REHABILITATION |
| Practice Address |
2030 25th Ave N Nashville TN 37208 |
| Mailing Address |
9020 Overlook Blvd Ste 202 Brentwood TN 37027-2755 |
| Practice Telephone | 6152564697 |
| Practice Fax Number | 6152564616 |
| Mailing Telephone | 6152507100 |
| Mailing Fax Number | 6152507101 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | MR. WILLIAM D ORAND (CEO) |
| Authorized Official Telephone | 6152507100 |
| Is Organization Subpart | Y |
| Parent Organization Name | VANGUARD HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0000000047 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445409 | 05 | |
| TN | 7440042 | 05 |
| Other Name | Type Code |
|---|---|
| Crestview Health and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
2030 25TH AVE N |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962857763 | The Crestview Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 2030 25th Ave N, Nashville, TN 37208-1369 | 2016-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199210 | Michele M Collins | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 | 2020-06-19 |
| 1730700105 | Prince Eleeh | Student in an Organized Health Care Education/Training Program | Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 | 2020-04-27 |
| 1750900411 | James Curtis Roberson IIi | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 | 2020-04-13 |
| 1184252322 | Sandip Chaugai | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 | 2020-04-01 |
| 1366070542 | Bukola Adeyinka Olagbende | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 | 2020-04-01 |
| 1821651704 | Vielka Oglivie | Social Worker | 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 | 2019-04-17 |
| 1154882702 | Ajua Fondong Azingala | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 | 2019-03-27 |
| 1437619749 | Dockmias Kassahun Demeke | Student in an Organized Health Care Education/Training Program | 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 | 2019-03-22 |
| 1225598717 | Ekemini Ima Orok | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 | 2019-03-21 |
| 1861952608 | Andrea Giselle Lozano | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 | 2019-03-20 |
| Find all providers in zip 37208 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780040139 | Nhc Place At The Trace LLC | Skilled Nursing Facility | 8353 Highway 100, Nashville, TN 37221-4009 | 2016-01-14 |
| 1568705465 | Trevecca H&r Nursing, LLC | Skilled Nursing Facility | 329 Murfreesboro Pike, Nashville, TN 37210-2834 | 2013-03-29 |
| 1063627487 | Intelligent Therapy Staffing, Inc. | Skilled Nursing Facility | 2759 Rosedale Pl, Nashville, TN 37211-2080 | 2007-05-11 |
| 1679612162 | Omni Visions, Inc. | Skilled Nursing Facility | 301 South Perimeter Park Drive, Suite 110, Nashville, TN 37211 | 2007-02-05 |
| 1467599563 | Vanderbilt University | Skilled Nursing Facility | 1161 21st Avenue, South, S-7400 Medical Center North, Nashville, TN 37232 | 2007-01-30 |
| 1083782080 | Benson Nursing Home, Inc | Skilled Nursing Facility | 1315 S Hutchinson St, Nashville, AR 71852-3259 | 2006-11-30 |
| 1629179296 | Orion Nashville LLC | Skilled Nursing Facility | 701 Porter Rd, Nashville, TN 37206-1743 | 2006-09-26 |
| 1063462224 | River Park Health Care LLC | Skilled Nursing Facility | 1306 Katie St, Nashville, TN 37207-5318 | 2006-05-10 |
| 1982673679 | Bn Healthcare, LLC | Skilled Nursing Facility | 1022 Eastern Ave, Nashville, NC 27856-1718 | 2006-03-15 |
| 1053396788 | Autumn Corporation | Skilled Nursing Facility | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2005-12-15 |
| Find all providers in NASHVILLE | ||||
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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.