<Unavail>

LBN: Bordeaux Long Term Care
<Unavail> is an health care organization with primary practice located at 1414 County Hospital Rd , Nashville TN 37218-3023. The organization recently has 5 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Long Term Care Pharmacy. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Bordeaux Long Term Care can be contacted via phone (615) 862-7005, or through Boyd, Jason via phone (615) 341-4491.

Contact Information

Primary practice address
1414 County Hospital Rd Nashville TN 37218-3023
Phone: (615) 862-7005
Fax: (615) 862-6960
Website:
Map and Directions
Authorized official contact:
Name: Boyd, Jason FACHE
Phone: (615) 341-4491

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0000000063 Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000063 Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 63 Tennessee
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0175630001 Tennessee
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 0175630001 Tennessee
Suppliers / Long Term Care Pharmacy 3336L0003X 4646322 Tennessee

Profile Details

NPI number 1083609168
LBN Legal business name Bordeaux Long Term Care
DBA Doing business as <Unavail>
Authorized official Boyd, Jason FACHE
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2005
Last updated Jun 3rd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083609168 NPPES
Tennessee MEDICAID 1454877
Tennessee Other 4414330
Tennessee MEDICAID 7440149
Tennessee MEDICAID 0445033

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