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Contact Information

BORDEAUX LONG TERM CARE
1414 COUNTY HOSPITAL RD
NASHVILLE, TN37218-3023
 Phone: 615-862-7005
 Fax: 615-862-6960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BORDEAUX LONG TERM CARE

NPI # 1083609168
LBN Legal business name BORDEAUX LONG TERM CARE
Authorized official JASON BOYD - (INTERIM CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2005
Last updated 06/03/2013 - About 13 years ago
Identifiers
TN License # 0000000063
TN License # 0175630001
TN License # 4646322
TN License # 63
TN Medicaid 0445033
TN Medicaid 1454877
TN Medicaid 7440149
TN Other 4414330 PHARMACY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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