Broadmore Senior Living

LBN: Broadmore Senior Living
Broadmore Senior Living is an health care organization with primary practice located at 826 Meadow View Rd , Bristol TN 37620-9535. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Broadmore Senior Living can be contacted via phone (423) 764-4622, or through Miracle, Melanie Nicole via phone (423) 764-4622.

Contact Information

Primary practice address
826 Meadow View Rd Bristol TN 37620-9535
Phone: (423) 764-4622
Fax: (423) 764-4822
Website:
Map and Directions
Authorized official contact:
Name: Miracle, Melanie Nicole
Phone: (423) 764-4622

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ACL0000000119 Tennessee

Profile Details

NPI number 1346595964
LBN Legal business name Broadmore Senior Living
DBA Doing business as
Authorized official Miracle, Melanie Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2012
Last updated Jul 19th, 2012 - about 14 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 1346595964 NPPES
Tennessee MEDICAID A3762000

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